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1750017653
DAVID PARK
FORT GORDON, GA
NPI
1750017653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN122805)
Enumeration Date
2022-07-25
Last Update Date
2023-08-16
Business Address
Dr. DAVID PARK
300 E HOSPITAL RD
FORT GORDON, GA 30905
Phone number: 706-787-5322
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Mailing Address
Dr. DAVID PARK
2826 NORBORNE PL
OAKTON, VA 22124-5001
Phone number:
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