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1023504297
JONATHAN PARK
PRESCOTT VALLEY, AZ
NPI
1023504297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D010097)
Enumeration Date
2018-07-10
Last Update Date
2018-07-10
Business Address
Dr. JONATHAN PARK DMD
7890 E FLORENTINE RD
PRESCOTT VALLEY, AZ 86314-1204
Phone number: 928-770-5721
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Mailing Address
Dr. JONATHAN PARK DMD
21021 N 56TH ST APT 3086
PHOENIX, AZ 85054-5609
Phone number: 847-924-2485
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