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Dr. Jong Kwan Park, DDS
Student in an Organized Health Care Education/Training Program in Hackensack, New Jersey
NPI 1356721922

Jong Kwan Park is a Student in an Organized Health Care Education/Training Program based in Hackensack, NJ. Jong Kwan Park practices in Hackensack, NJ and has the professional credentials of DDS. The NPI Number for Jong Kwan Park is 1356721922 and holds a License No. (New Jersey).

The current practice location address for Jong Kwan Park is 30 Prospect Ave, Hackensack, NJ and can be reached out via phone at 201-289-7858.

Location: 30 Prospect Ave, Hackensack, NJ, 07601-1915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356721922
Provider Name
Jong Kwan Park
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
30 Prospect Ave, Hackensack, NJ, 07601-1915
Phone Number
201-289-7858
Fax Number
Provider Enumeration Date
06/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1915
Phone Number
201-289-7858
Fax Number
person
Provider Business Mailing Address Details
Address
30 Prospect Ave
City
Hackensack
State
New Jersey
Zip
07601-1915
Phone Number
201-289-7858
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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