SearchNew YorkPediatric Dentistry

Jae Park, DMD

NPI 1336649573 · on the registry since 2018 · sole proprietor

Practice

Address
1400 Pelham Pkwy S
Bronx, NY 10461
Phone
(214) 228-7043
Organisation at this address
Ji Yoo Lee
Adult Care Services
Ihs Of New York Inc
Jacobi Medical Center
Jacobi Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,519

Registry record

Primary taxonomy
Pediatric Dentistry
1223P0221X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-05

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 New York