SAN JOSE ASPEN PLLC

JACKSONVILLE, FL
NPI1659923118
Entity TypeOrganization
Authorized ContactJONG YUN PARK
Owner
904-632-7003
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2019-07-15
Last Update Date2023-06-13
Business Address
SAN JOSE ASPEN PLLC
10502 SAN JOSE BLVD STE B
JACKSONVILLE, FL 32257-6209
Phone number: 904-632-7003
Mailing Address
SAN JOSE ASPEN PLLC
PO BOX 70887
CLEVELAND, OH 44190-0887
Phone number: