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Individual

SANG PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
300 W ADAMS ST STE 600, CHICAGO, IL 60606-5109
(312) 332-1450
(312) 332-1451
Mailing address
300 W ADAMS ST STE 600, CHICAGO, IL 60606-5109
(312) 332-1450
(312) 332-1451

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19025040
IL

Other

Enumeration date
01/26/2007
Last updated
07/08/2007
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