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Individual

DR. SCOTT JUYOUNG PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
7155 JONESBORO RD, MORROW, GA 30260-2908
(678) 904-5166
Mailing address
4632 DANDELION CIR NE, MARIETTA, GA 30067-3660
(404) 313-6654

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.033440
IL
1223G0001X
General Practice Dentistry
1002618-15
WI
1223G0001X
General Practice Dentistry
Primary
DN122376
GA

Other

Enumeration date
07/01/2021
Last updated
05/14/2025
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