| NPI | 1265993448 |
|---|---|
| Doing Business As | MEMORIAL CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HYUNSO PARK Owner 678-522-4042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-06-11 |