DR. Jae W Park, DDS

NPI #1144232968 in Christiansburg, Virginia

Provider Information

NPI Number: 1144232968
Entity Type: Individual
Name: DR. Jae W Park, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 12, 2006
Last Updated: Jun 1, 2015

Practice Location

Address: 114 N FRANKLIN ST
City: Christiansburg
State: Virginia
ZIP Code: 24073-2953
Phone: (540) 382-6108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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