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Organization
GREAT SMILES PLLC
Active
Organization
GREAT SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIN W PARK DMD (OWNER/DENTIST)
(972) 272-7944
Entity
Organization
Contact information
Practice address
126 N INTERNATIONAL RD STE A, GARLAND, TX 75042-6515
(972) 272-7944
Mailing address
PO BOX 461924, GARLAND, TX 75046-1924
(267) 210-2725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/26/2021
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