| NPI | 1366936841 |
|---|---|
| Former Legal Business Name | JAMES PARK D.M.D |
| Entity Type | Organization |
| Authorized Contact | JAMES PARK Dentist 508-764-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1856630) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |