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Individual

DR. ALLEN K PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4859 DOVER CENTER RD, SUITE 2, NORTH OLMSTED, OH 44070-3184
(440) 777-0177
(440) 777-8137
Mailing address
4859 DOVER CENTER RD, SUITE 2, NORTH OLMSTED, OH 44070-3184
(440) 777-0177
(440) 777-8137

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21300
OH

Other

Enumeration date
11/11/2006
Last updated
07/08/2007
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