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Individual

DR. JONGHAN PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
16605 E PALISADES BLVD STE 112, FOUNTAIN HILLS, AZ 85268-3716
(480) 837-2000
(480) 837-2078
Mailing address
16605 E PALISADES BLVD STE 112, FOUNTAIN HILLS, AZ 85268-3716
(480) 837-2000
(480) 837-2078

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18807
FL

Other

Enumeration date
10/05/2009
Last updated
06/26/2020
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