JAE YEON PARK

ATLANTA, GA
NPI1205096203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MA  22145)
Enumeration Date2008-06-12
Last Update Date2008-06-12
Business Address
-- JAE YEON PARK DMD
400 GALLERIA PKWY SE STE 800
ATLANTA, GA 30339-6413
Phone number: 800-920-9947
Mailing Address
-- JAE YEON PARK DMD
15 PARKSIDE PL APT 428
REVERE, MA 02151-1154
Phone number: 339-223-5869
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