| Jae Hong Park Dental, P.c. | |
|
71 School St # 1010 Glen Cove NY 11542-2511 | |
| (347) 509-4084 | |
| Not Available |
| Full Name | Jae Hong Park Dental, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 71 School St # 1010, Glen Cove, New York |
| Authorized Official Name and Position | Jae Hong Park (PRESIDENT) |
| Authorized Official Contact | 9298885010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Hong Park Dental, P.c. 184 Kent Ave Apt A304 Brooklyn NY 11249-3176 Ph: (929) 888-5010 | Jae Hong Park Dental, P.c. 71 School St # 1010 Glen Cove NY 11542-2511 Ph: (347) 509-4084 |
| NPI Number | 1609559491 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 08/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609559491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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