DR. Jonathan Park, DMD

NPI #1023504297 in Prescott Valley, Arizona

Provider Information

NPI Number: 1023504297
Entity Type: Individual
Name: DR. Jonathan Park, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 10, 2018
Last Updated: Jul 10, 2018

Practice Location

Address: 7890 E FLORENTINE RD
City: Prescott Valley
State: Arizona
ZIP Code: 86314-1204
Phone: (928) 770-5721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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