DR. Joseph S Park, DDS

NPI #1396736989 in Hogansburg, New York

Provider Information

NPI Number: 1396736989
Entity Type: Individual
Name: DR. Joseph S Park, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 2, 2005
Last Updated: Mar 25, 2015

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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