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1861624405
JI EUN PARK
ASTORIA, NY
NPI
1861624405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 054533)
Enumeration Date
2009-08-16
Last Update Date
2014-09-12
Business Address
Dr. JI EUN PARK DDS
25-37 BROADWAY
ASTORIA, NY 11106
Phone number: 718-786-2631
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Mailing Address
Dr. JI EUN PARK DDS
25-37 BROADWAY
ASTORIA, NY 11106
Phone number: 718-786-2631
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