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Jin Park
Oral and Maxillofacial Surgery (Dentist) in Killeen, Texas
NPI 1801246715

Jin Park is a Oral and Maxillofacial Surgery (Dentist) based in Austin, TX and is specialized in Oral and Maxillofacial Surgery. Jin Park practices in Killeen, TX. The NPI Number for Jin Park is 1801246715 and holds a License No. (Texas).

The current practice location address for Jin Park is 507 W Stan Schlueter Loop Ste 400, Killeen, TX and can be reached out via phone at 254-870-9209.

Location: 507 W Stan Schlueter Loop Ste 400, Killeen, TX, 78702-4065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801246715
Provider Name
Jin Park
Credential
Provider Entity Type
Individual
Gender
Female
Address
507 W Stan Schlueter Loop Ste 400, Killeen, TX, 78702-4065
Phone Number
254-870-9209
Fax Number
Provider Enumeration Date
06/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
507 W Stan Schlueter Loop Ste 400
City
Killeen
State
Texas
Zip
76542-6877
Phone Number
254-870-9209
Fax Number
person
Provider Business Mailing Address Details
Address
507 W Stan Schlueter Loop Ste 400
City
Killeen
State
Texas
Zip
76542-6877
Phone Number
254-870-9209
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
39421 (Texas)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
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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