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1801633730
JAKE PARK
CLEBURNE, TX
NPI
1801633730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 40767)
Enumeration Date
2024-07-09
Last Update Date
2024-07-09
Business Address
Dr. JAKE PARK DDS
1661 W HENDERSON ST
CLEBURNE, TX 76033-4230
Phone number: 682-317-5111
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Mailing Address
Dr. JAKE PARK DDS
540 COYOTE CANYON WAY
BREA, CA 92821-3530
Phone number: 714-504-3579
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