Organization
SGP SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEON GYEONG PARK (DENTIST)
(678) 455-7828
Entity
Organization
Contact information
Practice address
285 ELM ST STE 103, 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
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
02/20/2022
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