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Individual

DR. WOONG JUN PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
166 CROSSROADS BLVD STE 100, DAWSONVILLE, GA 30534-7937
(706) 265-3191
Mailing address
166 CROSSROADS BLVD STE 100, DAWSONVILLE, GA 30534-7937
(706) 265-3191

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0416125-T
GA
1223G0001X
General Practice Dentistry
Primary
DN016125
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/11/2020
Last updated
04/14/2026
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