Individual provider · Type 1 NPI

John Juwon Park, DMD

Pediatric Dentistry · Albany, NY

NPI number 1083866982 Active

Practice location

4 Executive Park Dr
Albany, NY 12203

Call (347) 408-8673 Map

Mailing address

255 Patroon Creek Blvd Apt 1405
Albany, NY 12206-5019

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X056491 (NY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1083866982

John Juwon Park, DMD's National Provider Identifier is 1083866982, issued on Oct 22, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Albany, NY. The record was last updated on May 17, 2018.