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Jintae Park, DDS

NPI 1629110747 · on the registry since 2007

Practice

Address
6795 S Virginia St
E
Reno, NV 89511
Phone
(775) 853-0503
Fax
(775) 853-0504

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
CA, NV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-01-09

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 Nevada