Individual
DR. SANGHYUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1610 RIDENOUR BLVD NW STE 102, KENNESAW, GA 30152-4486
(678) 273-2819
Mailing address
1610 RIDENOUR BLVD NW STE 102, KENNESAW, GA 30152-4486
(215) 582-3550
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
061292
NY
1223E0200X
Endodontics
Primary
DN123656
GA
Other
Enumeration date
09/03/2020
Last updated
06/29/2025
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