DR. Jintae Park, DDS

NPI #1629110747 in Reno, Nevada

Provider Information

NPI Number: 1629110747
Entity Type: Individual
Name: DR. Jintae Park, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 13, 2007
Last Updated: Jan 9, 2010

Practice Location

Address: 6795 S VIRGINIA ST
Address 2: E
City: Reno
State: Nevada
ZIP Code: 89511-1171
Phone: (775) 853-0503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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