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Individual

DR. JAMES PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
1175 PEACHTREE ST NE STE 1210, ATLANTA, GA 30361-3544
(404) 874-6464
Mailing address
1175 PEACHTREE ST NE STE 1210, ATLANTA, GA 30361-3544
(404) 874-6464

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DN 21873
FL
1223G0001X
General Practice Dentistry
Primary
DN123428
GA

Other

Enumeration date
06/06/2016
Last updated
03/21/2025
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