GEONWOONG PARK

PEORIA, IL
NPI1659109163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019035398)
Enumeration Date2024-07-25
Last Update Date2024-07-25
Business Address
GEONWOONG PARK DDS
5116 N BIG HOLLOW RD STE 101
PEORIA, IL 61615-3514
Phone number: 315-454-6000
Mailing Address
GEONWOONG PARK DDS
661 HARDING RD APT 203E
MORTON, IL 61550-9318
Phone number: 323-428-6575