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1356721922
JONG KWAN PARK
HACKENSACK, NJ
NPI
1356721922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-06-09
Last Update Date
2015-06-09
Business Address
Dr. JONG KWAN PARK D.D.S.
30 PROSPECT AVE HACKENSACK UNIVERSITY MEDICAL CENTER
HACKENSACK, NJ 07601-1915
Phone number: 201-289-7858
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Mailing Address
Dr. JONG KWAN PARK D.D.S.
30 PROSPECT AVE HACKENSACK UNIVERSITY MEDICAL CENTER
HACKENSACK, NJ 07601-1915
Phone number: 201-289-7858
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