Park Dentistry LLC
NPI #1902566003 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1902566003
- Entity Type
- Organization
- Organization Name
- Park Dentistry LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 30, 2021
- Last Updated
- Dec 30, 2021
Practice Location
- Address
- 1947 S 60TH ST
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53219-1552
- Phone
- (414) 545-6747
Authorized Official
- Name
- DR. JOON JAE PARK, DDS
- Title
- OWNER
- Phone
- (414) 545-6747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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