Park Dental Group - Clinton Pllc
NPI #1730774605 in Clinton, Mississippi
Provider Information
- NPI Number
- 1730774605
- Entity Type
- Organization
- Organization Name
- Park Dental Group - Clinton Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 3, 2021
- Last Updated
- Jun 20, 2023
Practice Location
- Address
- 226 HIGHWAY 80 E
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-4716
- Phone
- (601) 339-2086
Authorized Official
- Name
- YOUNG PARK
- Title
- OWNER
- Phone
- (601) 339-2086
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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