Organization
PARK DENTAL GROUP - TILTON PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG CHAN PARK DMD (DENTIST/OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
17 LOWES DR, TILTON, NH 03276
(603) 286-4221
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3396
NH
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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