Individual
DR. CHANG SOON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
110 HOPEWELL RD STE 1B, DOWNINGTOWN, PA 19335-1047
(610) 269-8522
Mailing address
110 HOPEWELL RD STE 1B, DOWNINGTOWN, PA 19335-1047
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
055756
NY
1223G0001X
General Practice Dentistry
60669
CA
1223G0001X
General Practice Dentistry
Primary
DS039272
PA
Other
Enumeration date
09/14/2011
Last updated
11/27/2023
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