Search › Maryland › 1223G0001X
Jaewoo Park, DDS
NPI 1184105330 · on the registry since 2018 · sole proprietor
Practice
- Address
- 100 Crain Hwy S
Glen Burnie, MD 21061 - Phone
- (071) 490-0116
- Organisation at this address
- Smile Up Dental Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 351 Loucks Rd Ste E4, York, PA
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- PA, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-28
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 Maryland