Individual
JOHN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6504 E MAIN ST, REYNOLDSBURG, OH 43068-2319
(614) 866-4186
Mailing address
60 E 8TH AVE APT 132, COLUMBUS, OH 43201-2891
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.027601
OH
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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