| NPI | 1164709093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEUN-JUNE PARK President/Prosthodontist 215-564-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: PA DS035815) |
| Enumeration Date | 2011-11-06 |
| Last Update Date | 2011-11-06 |