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Individual

CHAN MIN PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
930 E EXPRESSWAY 83, MCALLEN, TX 78503
(956) 843-0177
(956) 843-0179
Mailing address
3303 LOS INDIOS PKWY, MISSION, TX 78572-7584
(718) 309-0944
(956) 843-0179

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32058
TX
1223G0001X
General Practice Dentistry
DD4140
NM

Other

Enumeration date
07/09/2014
Last updated
08/27/2018
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