John Juwon Park, DMD Valid NPI
Individual provider · Pediatric Dentistry · Albany, NY
- NPI
- 1083866982
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0221X
- License number
- 056491 (NY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-10-22
- Last updated
- 2018-05-17
Practice location
4 Executive Park Dr
Albany, NY 12203
(347) 408-8673