Individual
DR. JONG-YUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3043 MAIN ST, SUITE A, GLASTONBURY, CT 06033-1029
(860) 430-4106
Mailing address
3043 MAIN ST, SUITE A, GLASTONBURY, CT 06033-1029
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856060
MA
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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