Jong Yun Park Pllc
NPI #1043615107 in Jacksonville, Florida
Provider Information
- NPI Number
- 1043615107
- Entity Type
- Organization
- Organization Name
- Jong Yun Park Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 30, 2014
- Last Updated
- Oct 30, 2014
Practice Location
- Address
- 11806 ATLANTIC BLVD
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32225-2918
- Phone
- (315) 454-6000
Authorized Official
- Name
- MIKA WEISS
- Title
- PROVIDER RELATIONS
- Phone
- (315) 454-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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