Individual
MYUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7770 SIGHTSEEING RD, DENCOM, FORT BENNING, GA 31905-3764
(706) 544-2118
Mailing address
7770 SIGHTSEEING RD, DENCOM, FORT BENNING, GA 31905-3764
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030083
IL
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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