Park Dental Group - Tilton Pllc

NPI #1912329731 in Tilton, New Hampshire

Provider Information

NPI Number: 1912329731
Entity Type: Organization
Organization Name: Park Dental Group - Tilton Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 14, 2014
Last Updated: Jan 14, 2014

Practice Location

Address: 17 LOWES DR
City: Tilton
State: New Hampshire
ZIP Code: 03276
Phone: (603) 286-4221

Authorized Official

Name: YOUNG CHAN PARK, DMD
Title: DENTIST/OWNER
Phone: (315) 454-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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