Myung Park

NPI #1134527047 in Fort Benning, Georgia

Provider Information

NPI Number: 1134527047
Entity Type: Individual
Name: Myung Park
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Dec 9, 2014
Last Updated: Dec 9, 2014

Practice Location

Address: 7770 SIGHTSEEING RD
Address 2: DENCOM
City: Fort Benning
State: Georgia
ZIP Code: 31905-3764
Phone: (706) 544-2118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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