| Park Dental Associates P.c. | |
|
1512 Sansom St #300 Philadelphia PA 19102-2809 | |
| (215) 564-0717 | |
| (215) 564-5450 |
| Full Name | Park Dental Associates P.c. |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 1512 Sansom St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Yeun-june Park (PRESIDENT/PROSTHODONTIST) |
| Authorized Official Contact | 2155640717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Dental Associates P.c. 1512 Sansom St #300 Philadelphia PA 19102-2809 Ph: (215) 564-0717 | Park Dental Associates P.c. 1512 Sansom St #300 Philadelphia PA 19102-2809 Ph: (215) 564-0717 |
| NPI Number | 1164709093 |
|---|---|
| Provider Enumeration Date | 11/06/2011 |
| Last Update Date | 11/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164709093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | DS035815 (Pennsylvania) | Primary |
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