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Individual

JEONG EUN PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
30 AIRPORT RD STE 3, WEST LEBANON, NH 03784-1664
(603) 298-7660
Mailing address
30 AIRPORT RD STE 3, WEST LEBANON, NH 03784-1664
(603) 298-7660

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
04131
NH
122300000X
Dentist
1000983-15
WI

Other

Enumeration date
08/07/2014
Last updated
01/21/2026
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