Individual provider · Type 1 NPI

Julius Park, DMD

Pediatric Dentistry · Woodstock, GA

NPI number 1710022942 Active

Practice location

1816 Eagle Dr, 200-C
Woodstock, GA 30189-8272

Fax (770) 926-9263

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X22DI02198100 (NJ)
Pediatric Dentistry 1223P0221X050223 (NY)
Pediatric Dentistry Primary 1223P0221XDN013851 (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.

8 other providers at this address

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About NPI 1710022942

Julius Park, DMD's National Provider Identifier is 1710022942, issued on Feb 21, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Woodstock, GA. The record was last updated on Sep 22, 2010.