DR. Song Yong Park, D.M.D

NPI #1225486947 in Hogansburg, New York

Provider Information

NPI Number: 1225486947
Entity Type: Individual
Name: DR. Song Yong Park, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Jun 3, 2016
Last Updated: May 3, 2018

Practice Location

Address: 412 STATE ROUTE 37
City: Hogansburg
State: New York
ZIP Code: 13655-3109
Phone: (518) 358-3141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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