Jung Sun Park, D.D.S. Valid NPI
Individual provider · Dentist · Berkeley, CA
- NPI
- 1275783813
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 57278 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-09-19
- Last updated
- 2012-03-09
Practice location
1860 Alcatraz
Berkeley, CA 94703
(510) 280-6080