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Organization
WOOKWON PARK DDS PLLC
Active
Organization
WOOKWON PARK DDS PLLC
Active
Other names
Park Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WOOKWON PARK D.D.S (OWNER)
(469) 293-2530
Entity
Organization
Contact information
Practice address
771 W ROUND GROVE RD, STE W100, LEWISVILLE, TX 75067
(469) 293-2530
Mailing address
771 W ROUND GROVE RD, STE W100, LEWISVILLE, TX 75067
(469) 293-2530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28444
TX
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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