Jung Won Park, DDS

NPI #1043983364 in Tyler, Texas

Provider Information

NPI Number: 1043983364
Entity Type: Individual
Name: Jung Won Park, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 2, 2021
Last Updated: Aug 2, 2021

Practice Location

Address: 212 OLD GRANDE BLVD STE B224
City: Tyler
State: Texas
ZIP Code: 75703-4277
Phone: (903) 509-0505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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