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1992145445
HAN ICK PARK
PHILADELPHIA, PA
NPI
1992145445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2013-06-28
Last Update Date
2013-06-28
Business Address
-- HAN ICK PARK D.D.S.
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-7104
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Mailing Address
-- HAN ICK PARK D.D.S.
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-7104
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