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Individual

DR. DANIEL J PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1825 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4013
(678) 355-7075
(770) 271-1371
Mailing address
1825 COUNTY SERVICES PKWY SW, MARIETTA, GA 30008-4013
(678) 355-7075
(770) 271-1371

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013616
GA

Other

Enumeration date
08/09/2007
Last updated
01/12/2012
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