Individual
DR. VICTORIA JEONG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
47 E 77TH ST STE 207, NEW YORK, NY 10075-1730
(646) 707-3456
Mailing address
47 E 77TH ST STE 207, NEW YORK, NY 10075-1730
(646) 707-3456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
057864
NY
1223P0700X
Prosthodontics
Primary
057864
NY
Other
Enumeration date
05/30/2012
Last updated
01/03/2023
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