Park Family Dental LLC
NPI #1720791817 in South Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1720791817
- Entity Type
- Organization
- Organization Name
- Park Family Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 4, 2023
- Last Updated
- Jan 4, 2023
Practice Location
- Address
- 1001 MADISON AVE
- City
- South Milwaukee
- State
- Wisconsin
- ZIP Code
- 53172-2500
- Phone
- (414) 203-9664
Authorized Official
- Name
- DR. JOON JAE PARK, DDS
- Title
- OWNER
- Phone
- (262) 720-4669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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