Chin W. Park
NPI #1063904449 in Jacksonville, Florida
Provider Information
- NPI Number
- 1063904449
- Entity Type
- Individual
- Name
- Chin W. Park
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 1, 2018
- Last Updated
- Jun 1, 2018
Practice Location
- Address
- 10601 SAN JOSE BLVD STE 117
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32257-6267
- Phone
- (904) 483-3027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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