Individual
DR. JIN EUNG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
701 N BROADWAY, SLEEPY HOLLOW, NY 10591-1020
(914) 366-3000
Mailing address
11 LIVINGSTON AVE, WHITE PLAINS, NY 10605-1205
(914) 608-4372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
STUDENT
NY
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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