Joshua Jaeyoon Park

NPI #1497537161 in Tillamook, Oregon

Provider Information

NPI Number: 1497537161
Entity Type: Individual
Name: Joshua Jaeyoon Park
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 18, 2023
Last Updated: Oct 18, 2023

Practice Location

Address: 1010 MAIN AVE
City: Tillamook
State: Oregon
ZIP Code: 97141-3818
Phone: (503) 842-7788

Specialties & Taxonomy Codes

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

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