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1417145160
SALLY PARK
WAYNE, NJ
NPI
1417145160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NJ 22D102133200)
Enumeration Date
2007-10-09
Last Update Date
2007-10-09
Business Address
Dr. SALLY PARK D.D.S., M.S.D.
1500 ALPS RD
WAYNE, NJ 07470-3635
Phone number: 973-696-5220
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Mailing Address
Dr. SALLY PARK D.D.S., M.S.D.
1500 ALPS RD
WAYNE, NJ 07470-3635
Phone number: 973-696-5220
Copy
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