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1346738564
JISUNG PARK
BUFFALO, NY
NPI
1346738564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 060540)
Enumeration Date
2018-04-24
Last Update Date
2019-08-06
Business Address
JISUNG PARK DDS
3557 UNION RD
BUFFALO, NY 14225-5123
Phone number: 716-651-0099
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Mailing Address
JISUNG PARK DDS
3557 UNION RD
BUFFALO, NY 14225-5123
Phone number:
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