Individual
DR. JANICE CARMEN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2513 REDWINE RD STE C, PEACHTREE CITY, GA 30269-4420
(770) 486-1984
Mailing address
270 SAVANNAH DR, SENOIA, GA 30276-2357
(830) 319-2761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122694
GA
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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