DR. JAKE PARK, D.D.S
Dentist - Periodontics
Active
Individual
NPI: 1891073680
Practice Address
1 KNEELAND STTUFTS DENTAL. DEPARTMENT OF PERIODONTOLOGY
Boston, MA 02111
Phone: (617) 292-4366
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | DN1855799 (MA) |
Frequently Asked Questions
NPI 1891073680 is the National Provider Identifier for DR. JAKE PARK, D.D.S, a Dentist - Periodontics provider located in Boston, MA. This NPI was enumerated on July 27, 2011.
DR. JAKE PARK, D.D.S practices at 1 KNEELAND ST, TUFTS DENTAL. DEPARTMENT OF PERIODONTOLOGY, Boston, MA 02111.
Quick Facts
- NPI
- 1891073680
- Type
- Individual
- Enumerated
- Jul 27, 2011
- Last Updated
- Aug 7, 2018
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