Organization
PARK DENTAL GROUP - FLOWOOD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG PARK (OWNER)
(601) 203-1654
Entity
Organization
Contact information
Practice address
105 RIDGE WAY STE 3, FLOWOOD, MS 39232-3301
(601) 203-1654
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
06/13/2023
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