DR. Eric Park, D.M.D

NPI #1144452830 in Douglasville, Georgia

Provider Information

NPI Number: 1144452830
Entity Type: Individual
Name: DR. Eric Park, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: D.M.D
Enumeration Date: Aug 14, 2009
Last Updated: Nov 5, 2010

Practice Location

Address: 4935 STEWART MILL RD
Address 2: SUITE 200
City: Douglasville
State: Georgia
ZIP Code: 30135-6733
Phone: (770) 627-3042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Organizations

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