| Park Family Dental | |
|
24047 W Lockport St Suite 207 Plainfield IL 60544-2205 | |
| (815) 267-7878 | |
| Not Available |
| Full Name | Park Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 24047 W Lockport St, Plainfield, Illinois |
| Authorized Official Name and Position | Jae Sung Roh (OWNER) |
| Authorized Official Contact | 8152677878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Family Dental 716 69th St Willowbrook IL 60527-5353 Ph: () - | Park Family Dental 24047 W Lockport St Suite 207 Plainfield IL 60544-2205 Ph: (815) 267-7878 |
| NPI Number | 1588986418 |
|---|---|
| Provider Enumeration Date | 02/19/2010 |
| Last Update Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588986418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 01019026140 (Illinois) | Primary |
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