Individual
DR. TAE-HOON PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1300 N ELLINGTON PKWY, LEWISBURG, TN 37091-2218
(931) 359-2825
Mailing address
1300 N ELLINGTON PKWY, LEWISBURG, TN 37091-2218
(931) 359-2825
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11619
TN
1223G0001X
General Practice Dentistry
123971
AK
1223G0001X
General Practice Dentistry
56079
CA
Other
Enumeration date
08/22/2007
Last updated
12/07/2024
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