Individual
DR. SIHYUN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
121 E 31ST ST, APT 4C, NEW YORK, NY 10016-6834
(917) 854-1510
Mailing address
25 WHISTLER CT UNIT 402, SARATOGA SPRINGS, NY 12866-8426
(917) 854-1510
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
060392
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2015
Last updated
08/12/2019
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