Individual
DR. JULIUS PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1816 EAGLE DR, 200-C, WOODSTOCK, GA 30189-8272
(770) 926-9260
(770) 926-9263
Mailing address
1816 EAGLE DR, 200-C, WOODSTOCK, GA 30189-8272
(770) 926-9260
(770) 926-9263
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
050223
NY
1223P0221X
Pediatric Dentistry
22DI02198100
NJ
1223P0221X
Pediatric Dentistry
Primary
DN013851
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02731033
—
NY
Enumeration date
02/21/2007
Last updated
09/22/2010
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