| NPI | 1437666807 |
|---|---|
| Doing Business As | DENTAL PARK |
| Entity Type | Organization |
| Authorized Contact | CHAN MIN PARK Member 718-309-0944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2018-01-06 |
| Last Update Date | 2020-10-10 |