JIN PARK
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1801246715- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 250 CHURCH ST SE STE 102, SALEM, OR, 973013758
- Phone
- (503) 581-1999
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: OR #D12135
Student in an Organized Health Care Education/Training Program
All Addresses
MAILING
250 CHURCH ST SE STE 102
SALEM, OR, 973013758