| NPI | 1326419052 |
|---|---|
| Doing Business As | PARK DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | WOOKWON PARK Owner 469-293-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 28444) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |