Individual
DR. JOHN I PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
400 AVENUE K SE, STE 12, WINTER HAVEN, FL 33880-4145
(863) 293-0023
Mailing address
400 AVENUE K SE, STE 12, WINTER HAVEN, FL 33880
(863) 293-0023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14475
FL
Other
Enumeration date
07/19/2006
Last updated
01/06/2017
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