Individual
DR. JIN-SIR PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
254B MOUNTAIN AVE, SUITE 206, HACKETTSTOWN, NJ 07840-2413
(908) 850-6300
(908) 850-6399
Mailing address
254B MOUNTAIN AVE, SUITE 206, HACKETTSTOWN, NJ 07840-2413
(908) 850-6300
(908) 850-6399
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22DI02177900
NJ
Other
Enumeration date
01/06/2008
Last updated
03/16/2009
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