Individual
SEON GYEONG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
285 ELM ST, CUMMING, GA 30040-8233
(678) 455-7828
Mailing address
285 ELM ST STE 103, CUMMING, GA 30040-8233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019032684
IL
122300000X
Dentist
Primary
DN122296
GA
Other
Enumeration date
06/15/2020
Last updated
03/07/2022
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