Organization
DR. YOUNG PARK DENTAL GROUP - MEDFORD, PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG PARK DMD (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
678 FELLSWAY, MEDFORD, MA 02155-4901
(781) 391-8979
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(866) 803-4943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20999
MA
Other
Enumeration date
10/15/2013
Last updated
10/28/2013
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