AIDAN PARK

KENOSHA, WI
NPI1639626450
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: WI  1001421)
Enumeration Date2016-09-09
Last Update Date2016-09-09
Business Address
-- AIDAN PARK DDS
6430 GREEN BAY RD
KENOSHA, WI 53142-2948
Phone number: 888-988-4066
Mailing Address
-- AIDAN PARK DDS
2050 E ALGONQUIN RD STE 610
SCHAUMBURG, IL 60173-4144
Phone number: 888-988-4066
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