Individual
DR. CASSIE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3900 PARK AVE STE 105, EDISON, NJ 08820-3063
(732) 452-0100
Mailing address
3900 PARK AVE STE 105, EDISON, NJ 08820-3063
(732) 452-0100
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02843000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2021
Last updated
02/13/2024
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