DR. Jee Y Park, DMD

NPI #1902142268 in Plainview, New York

Provider Information

NPI Number: 1902142268
Entity Type: Individual
Name: DR. Jee Y Park, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Dec 13, 2012
Last Updated: Dec 13, 2012

Practice Location

Address: 1163 OLD COUNTRY RD
City: Plainview
State: New York
ZIP Code: 11803-5029
Phone: (848) 248-0404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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