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Organization
KAREN PARK FAMILY DENTISTRY, P.A.
Active
Organization
KAREN PARK FAMILY DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PARK (OFFICE MANAGER/CORPORATE SECRETARY)
(803) 796-2637
Entity
Organization
Contact information
Practice address
125 MEDICAL CIR, WEST COLUMBIA, SC 29169-3655
(803) 796-2637
(803) 796-5326
Mailing address
125 MEDICAL CIR, WEST COLUMBIA, SC 29169-3655
(803) 796-2637
(803) 796-5326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3398
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9865
—
SC
Enumeration date
05/01/2006
Last updated
04/09/2014
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