Organization · Type 2 NPI

Juwon Park DMD PC

Pediatric Dentistry · Albany, NY

NPI number 1578045258 Active

Practice location

4 Executive Park Dr
Albany, NY 12203-3718

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 1578045258

Juwon Park DMD PC's National Provider Identifier is 1578045258, issued on Aug 30, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Albany, NY. The record was last updated on Aug 30, 2018.