DR. Jong Kwan Park, D.D.S. is a student in an organized health care education training program in Hackensack, NJ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jong Kwan Park, D.D.S. NPI is 1356721922. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
30 PROSPECT AVE
HACKENSACK UNIVERSITY MEDICAL CENTER
HACKENSACK, NJ
ZIP 07601-915
Phone: (201) 289-7858
The enumeration date for this NPI number is 6/9/2015 and was last updated on 6/9/2015.