JONATHAN PARK

PRESCOTT VALLEY, AZ
NPI1023504297
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  D010097)
Enumeration Date2018-07-10
Last Update Date2018-07-10
Business Address
Dr. JONATHAN PARK DMD
7890 E FLORENTINE RD
PRESCOTT VALLEY, AZ 86314-1204
Phone number: 928-770-5721
Mailing Address
Dr. JONATHAN PARK DMD
21021 N 56TH ST APT 3086
PHOENIX, AZ 85054-5609
Phone number: 847-924-2485