DR. John I Park, DMD
NPI #1295754018 in Winter Haven, Florida
Provider Information
- NPI Number
- 1295754018
- Entity Type
- Individual
- Name
- DR. John I Park, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Jan 6, 2017
Practice Location
- Address
- 400 AVENUE K SE
- Address 2
- STE 12
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33880-4145
- Phone
- (863) 293-0023
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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