Jake S. Park, D.D.S
Periodontics · Boston, MA
UnclaimedD.D.SNPI 1891073680
- Primary taxonomy
- 1223P0300X
- Enumerated
- 2011-07-27
- Practice location
- Boston, MA
- Last NPPES update
- 2018-08-07
State licenses
- MA · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.