Organization
SM DENTISTRY INC
Active
Other names
Park Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIN S PARK DMD (DENTIST)
(770) 879-1200
Entity
Organization
Contact information
Practice address
2415 W PARK PLACE BLVD, STONE MOUNTAIN, GA 30087-3566
(770) 879-1200
(770) 413-1821
Mailing address
2415 W PARK PLACE BLVD, STONE MOUNTAIN, GA 30087-3566
(770) 879-1200
(770) 413-1821
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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