Park Dental Group

NPI #1235403700 in Monroe, Georgia

Provider Information

NPI Number: 1235403700
Entity Type: Organization
Organization Name: Park Dental Group
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 1, 2012
Last Updated: Mar 1, 2012

Practice Location

Address: 256 N HAMMOND DR
City: Monroe
State: Georgia
ZIP Code: 30655-2475
Phone: (770) 207-0008

Authorized Official

Name: DR. HYUN W. PARK, D.D.S
Title: GENERAL DENTISTRY
Phone: (770) 207-0008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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