Individual
DR. JAMES PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
44 EVERETT ST, SOUTHBRIDGE, MA 01550
(508) 764-4600
Mailing address
44 EVERETT ST, SOUTHBRIDGE, MA 01550-2620
(508) 764-4600
(508) 765-5862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1856630
MA
Other
Enumeration date
06/22/2012
Last updated
06/07/2018
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