Individual
DR. DAVID PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 E HOSPITAL RD, FORT GORDON, GA 30905
(706) 787-5322
Mailing address
2826 NORBORNE PL, OAKTON, VA 22124-5001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122805
GA
Other
Enumeration date
07/25/2022
Last updated
08/16/2023
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