Jaewoo Park, DDS
NPI #1184105330 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1184105330
- Entity Type
- Individual
- Name
- Jaewoo Park, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 26, 2018
- Last Updated
- Jul 28, 2021
Practice Location
- Address
- 100 CRAIN HWY S
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061-3528
- Phone
- (071) 490-0116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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