Dong Jin Park

NPI #1174888622 in Meriden, Connecticut

Provider Information

NPI Number: 1174888622
Entity Type: Individual
Name: Dong Jin Park
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 11, 2012
Last Updated: Sep 26, 2013

Practice Location

Address: 490 S BROAD ST
City: Meriden
State: Connecticut
ZIP Code: 06450
Phone: (203) 237-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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