NPI 1972027225

Yong Suel Park, DDS

Practitioner General Practice Dentistry Vernon, NJ

Practice location

Address: 292 Route 94, Vernon, NJ 07462-3181
Phone: (973) 827-2255
Mailing address: PO Box 195, Vernon, NJ 07462-0195

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 11859 (CT)

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Registry record

NPI: 1972027225
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2017
Record last updated: 26 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.