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1629467659
KI HONG PARK
FORT CAMPBELL, KY
NPI
1629467659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN014638)
Enumeration Date
2015-01-14
Last Update Date
2018-07-17
Business Address
Dr. KI HONG PARK D.M.D
2441 21ST ST
FORT CAMPBELL, KY 42223
Phone number: 270-798-8751
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Mailing Address
Dr. KI HONG PARK D.M.D
2441 21ST ST
FORT CAMPBELL, KY 42223-5582
Phone number: 270-798-8751
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