Organization · Type 2 NPI

Park Dental Group

Dental Clinic/Center · Monroe, GA

NPI number 1235403700 Active

Practice location

256 N Hammond Dr
Monroe, GA 30655-2475

Fax (770) 207-0033

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XDN012810 (GA)

Dental Clinic/Center: Definition to come...

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About NPI 1235403700

Park Dental Group's National Provider Identifier is 1235403700, issued on Mar 1, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Monroe, GA. The record was last updated on Mar 1, 2012.