Organization
ESE ASSOCIATES, INC.
Active
Other names
Pro Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J PARK D.D.S. (PRESIDENT)
(704) 573-1198
Entity
Organization
Contact information
Practice address
5409 POTTER RD., #100, STALLINGS, NC 28104
(704) 573-1198
Mailing address
4520 MINT HILL VILLAGE LN, UNIT 107, MINT HILL, NC 28227-7796
(704) 573-1198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8329
NC
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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