Individual
DR. JEE Y PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1163 OLD COUNTRY RD, PLAINVIEW, NY 11803-5029
(848) 248-0404
Mailing address
77 VIRGINIA AVE, PLAINVIEW, NY 11803-3625
(848) 248-0404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055803
NY
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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