Jung Won Park, DDS
NPI 1043983364 · on the registry since 2021
Practice
- Address
- 212 Old Grande Blvd Ste B224
Tyler, TX 75703 - Phone
- (903) 509-0505
- Organisation at this address
- Epic Health Services, Inc.
East Texas Dental Group, Llc
East Texas Dental Associates, P.A.
Professional Dental Alliance Of Tx 43004 PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas