Organization
SUNFLOWER FAMILY DENTAL PC
Active
Other names
Sunflower Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIN H PARK DMD (DENTIST/OWNER)
(215) 237-1865
Entity
Organization
Contact information
Practice address
1501 LOWER STATE RD, SUITE C, NORTH WALES, PA 19454-1216
(267) 477-1711
Mailing address
1501 LOWER STATE RD, SUITE C, NORTH WALES, PA 19454-1216
(267) 477-1711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS031108L
PA
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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