| NPI | 1588986418 |
|---|---|
| Doing Business As | PARK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAE SUNG ROH Owner 815-267-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 01019026140) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2024-03-05 |