| Dental Park Of San Juan Pllc | |
|
1618 N Veterans Blvd Ste A San Juan TX 78589-3221 | |
| (956) 783-7070 | |
| Not Available |
| Full Name | Dental Park Of San Juan Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1618 N Veterans Blvd Ste A, San Juan, Texas |
| Authorized Official Name and Position | Chan Min Park (OWNER) |
| Authorized Official Contact | 9567837070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Park Of San Juan Pllc 1618 N Veterans Blvd Ste A San Juan TX 78589-3221 Ph: () - | Dental Park Of San Juan Pllc 1618 N Veterans Blvd Ste A San Juan TX 78589-3221 Ph: (956) 783-7070 |
| NPI Number | 1558969790 |
|---|---|
| Provider Enumeration Date | 10/10/2020 |
| Last Update Date | 10/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558969790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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