Jae Yeon Park, DMD

NPI 1205096203 · on the registry since 2008

Practice

Address: 400 Galleria Pkwy Se Ste 800
Atlanta, GA 30339
Phone: (800) 920-9947
Fax: (678) 904-5666
Organisation at this address: Meraki Health
Pride Hands Inc
Clear Care L.L.C.
Kool Smiles Ptc Pc
Circle Care Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-06-12

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 Georgia