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1811065238
JAE HYUN PARK
PHOENIX, AZ
NPI
1811065238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: AZ 7019)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
DR. JAE HYUN PARK DMD, PHD
3155 W INDIAN SCHOOL RD WESTERN DENTAL ORTHODONTIC OFFICE
PHOENIX, AZ 85017-4035
Phone number: 480-286-0455
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Mailing Address
DR. JAE HYUN PARK DMD, PHD
5519 E BERYL AVE
PARADISE VALLEY, AZ 85253-1165
Phone number: 480-286-0455
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