| Park Pediatric Dentistry Of Woodstock, Llc | |
|
1816 Eagle Dr Suite 200-c Woodstock GA 30189-8272 | |
| (770) 926-9260 | |
| (770) 926-9263 |
| Full Name | Park Pediatric Dentistry Of Woodstock, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1816 Eagle Dr, Woodstock, Georgia |
| Authorized Official Name and Position | Julius Park (CEO) |
| Authorized Official Contact | 7709269260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Pediatric Dentistry Of Woodstock, Llc 1816 Eagle Dr Suite 200-c Woodstock GA 30189-8272 Ph: (770) 926-9260 | Park Pediatric Dentistry Of Woodstock, Llc 1816 Eagle Dr Suite 200-c Woodstock GA 30189-8272 Ph: (770) 926-9260 |
| NPI Number | 1346540432 |
|---|---|
| Provider Enumeration Date | 10/24/2010 |
| Last Update Date | 10/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346540432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013851 (Georgia) | Primary |
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