Organization
PARK DENTAL GROUP
Active
Other names
Monroe Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HYUN W. PARK D.D.S (GENERAL DENTISTRY)
(770) 207-0008
Entity
Organization
Contact information
Practice address
256 N HAMMOND DR, MONROE, GA 30655-2475
(770) 207-0008
(770) 207-0033
Mailing address
256 N HAMMOND DR, MONROE, GA 30655-2475
(770) 207-0008
(770) 207-0033
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN012810
GA
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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