Jae Min Park, DDS

NPI #1043101074 in Waterville, Maine

Provider Information

NPI Number: 1043101074
Entity Type: Individual
Name: Jae Min Park, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 9, 2025
Last Updated: Sep 5, 2025

Practice Location

Address: 185 MAIN ST
City: Waterville
State: Maine
ZIP Code: 04901-6625
Phone: (833) 201-0170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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