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1659109163
GEONWOONG PARK
PEORIA, IL
NPI
1659109163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019035398)
Enumeration Date
2024-07-25
Last Update Date
2024-07-25
Business Address
GEONWOONG PARK DDS
5116 N BIG HOLLOW RD STE 101
PEORIA, IL 61615-3514
Phone number: 315-454-6000
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Mailing Address
GEONWOONG PARK DDS
661 HARDING RD APT 203E
MORTON, IL 61550-9318
Phone number: 323-428-6575
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