ERIC PARK

DOUGLASVILLE, GA
NPI1144452830
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA  012946)
Enumeration Date2009-08-14
Last Update Date2010-11-05
Business Address
Dr. ERIC PARK D.M.D
4935 STEWART MILL RD SUITE 200
DOUGLASVILLE, GA 30135-6733
Phone number: 770-627-3042
Mailing Address
Dr. ERIC PARK D.M.D
97 EAGLE ROCK DR
ACWORTH, GA 30101-1916
Phone number: