Individual
JOHN J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1079 CHAMBERS ST, EUGENE, OR 97402-3706
(541) 344-7900
(877) 700-4985
Mailing address
1079 CHAMBERS ST, EUGENE, OR 97402-3706
(541) 344-7900
(877) 700-4985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7295
OR
Other
Enumeration date
08/12/2005
Last updated
07/08/2007
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