Jaeseong Park, DMD

NPI #1528682929 in Springfield, Massachusetts

Provider Information

NPI Number: 1528682929
Entity Type: Individual
Name: Jaeseong Park, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 1, 2020
Last Updated: Jul 19, 2021

Practice Location

Address: 800 BOSTON RD
City: Springfield
State: Massachusetts
ZIP Code: 01119-1352
Phone: (413) 796-4700

Specialties & Taxonomy Codes

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

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