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1982996641
MIN PARK
JERSEY CITY, NJ
NPI
1982996641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 22DI02470100)
Enumeration Date
2011-05-12
Last Update Date
2011-05-12
Business Address
-- MIN PARK
270 MARIN BLVD APT 11Q
JERSEY CITY, NJ 07302-3680
Phone number: 917-969-2303
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Mailing Address
-- MIN PARK
270 MARIN BLVD APT 11Q
JERSEY CITY, NJ 07302-3680
Phone number: 917-969-2303
Copy
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