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1265971048
TINA PARK
BRONX, NY
NPI
1265971048
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Former Name
TINA CHOI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-02-14
Last Update Date
2017-02-14
Business Address
-- TINA PARK D.D.S.
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
-- TINA PARK D.D.S.
29 8TH ST
ENGLEWOOD CLIFFS, NJ 07632-2404
Phone number: 626-244-4294
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