Individual
JASMIN DAHYUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 MARKS ST STE 100, HENDERSON, NV 89014-6501
(802) 425-3697
Mailing address
3370 SAINT ROSE PKWY APT 322, HENDERSON, NV 89052-4240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8086
NV
Other
Enumeration date
06/22/2023
Last updated
09/12/2024
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