DR. Jake Park, DDS

NPI #1801633730 in Cleburne, Texas

Provider Information

NPI Number: 1801633730
Entity Type: Individual
Name: DR. Jake Park, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 9, 2024
Last Updated: Jul 9, 2024

Practice Location

Address: 1661 W HENDERSON ST
City: Cleburne
State: Texas
ZIP Code: 76033-4230
Phone: (682) 317-5111

Specialties & Taxonomy Codes

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

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