| Park Dental | |
|
4520 Mint Hill Village Ln Unit 107 Mint Hill NC 28227-7796 | |
| (704) 573-1198 | |
| Not Available |
| Full Name | Park Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4520 Mint Hill Village Ln, Mint Hill, North Carolina |
| Authorized Official Name and Position | James J Park (PRESIDENT) |
| Authorized Official Contact | 7045731198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Dental 4520 Mint Hill Village Ln Unit 107 Mint Hill NC 28227-7796 Ph: (704) 573-1198 | Park Dental 4520 Mint Hill Village Ln Unit 107 Mint Hill NC 28227-7796 Ph: (704) 573-1198 |
| NPI Number | 1932444668 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 12/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932444668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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