Individual
DR. ILMOON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3265 CYPRESS GARDENS RD, SUITE A, WINTER HAVEN, FL 33884-2418
(863) 324-4271
Mailing address
3265 CYPRESS GARDENS RD, SUITE A, WINTER HAVEN, FL 33884-2418
(863) 324-4271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19565
FL
Other
Enumeration date
10/11/2011
Last updated
08/10/2015
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