# PARK DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maffett and Park Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053871418
- **Authorized official:** DR. HYANG MIN PARK DMD (DMD)
- **Authorized official phone:** (703) 853-9480

## Contact information

- **Practice address:** 207 DART DR, HANOVER, PA 17331-1322
- **Practice address phone:** (717) 632-3217
- **Mailing address:** 207 DART DR, HANOVER, PA 17331-1322
- **Mailing address phone:** (717) 632-3217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2019
- **Last updated:** 03/21/2019