Geonwoong Park, DDS

NPI #1659109163 in Rockford, Illinois

Provider Information

NPI Number
1659109163
Entity Type
Individual
Name
Geonwoong Park, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jul 25, 2024
Last Updated
Aug 14, 2025

Practice Location

Address
1200 W STATE ST
ZIP Code
61102-2112
Phone
(815) 490-1600

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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