Individual
DR. SEONG HWAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
77 S MAIN ST, WATERBURY, VT 05676-1555
(802) 244-6366
Mailing address
3512 CHILDRESS TER, BURTONSVILLE, MD 20866-2016
(301) 787-1344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0160134190
VT
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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