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Dong Jin Park
NPI 1174888622 · on the registry since 2012
Practice
- Address
- 490 S Broad St
Meriden, CT 06450 - Phone
- (203) 237-1000
- Organisation at this address
- Anjali Banerjee Dmd Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- Dentist
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-26
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 Connecticut