Organization
PARK DENTISTRY LLC
Active
Other names
Gentle Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOON JAE PARK DDS (OWNER)
(414) 545-6747
Entity
Organization
Contact information
Practice address
1947 S 60TH ST, WEST ALLIS, WI 53219-1552
(414) 545-6747
(414) 545-2488
Mailing address
1947 S 60TH ST, WEST ALLIS, WI 53219-1552
(414) 545-6747
(414) 545-2488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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