DR. Chung-Jae Park, DDS

NPI #1942200050 in Sherwood, Oregon

Provider Information

NPI Number: 1942200050
Entity Type: Individual
Name: DR. Chung-Jae Park, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 29, 2005
Last Updated: Apr 1, 2025

Practice Location

Address: 21035 SW PACIFIC COAST HWY
Address 2: STE 100
City: Sherwood
State: Oregon
ZIP Code: 97140
Phone: (503) 925-1473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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