Individual provider · Type 1 NPI

Suyon Lee Park, DDS

Pediatric Dentistry · Atlanta, GA

NPI number 1447486105 Active

Practice location

1350 Spring St NW, Ste 600
Atlanta, GA 30309-2864

Mailing address

3460 Kingsboro Rd NE, Apt 528
Atlanta, GA 30326-3300

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN013879 (GA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1447486105

Suyon Lee Park, DDS's National Provider Identifier is 1447486105, issued on Jun 8, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Atlanta, GA. The record was last updated on Apr 1, 2014.