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1659923118
SAN JOSE ASPEN PLLC
JACKSONVILLE, FL
NPI
1659923118
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Entity Type
Organization
Authorized Contact
JONG YUN PARK
Owner
904-632-7003
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2019-07-15
Last Update Date
2023-06-13
Business Address
SAN JOSE ASPEN PLLC
10502 SAN JOSE BLVD STE B
JACKSONVILLE, FL 32257-6209
Phone number: 904-632-7003
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Mailing Address
SAN JOSE ASPEN PLLC
PO BOX 70887
CLEVELAND, OH 44190-0887
Phone number:
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