| Dental Park LLC | |
|
211 High St Dedham MA 02026-2852 | |
| (781) 326-6260 | |
| Not Available |
| Full Name | Dental Park LLC |
|---|---|
| Speciality | Dentist |
| Location | 211 High St, Dedham, Massachusetts |
| Authorized Official Name and Position | Taejoon Park (DENTIST) |
| Authorized Official Contact | 2165779992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Park LLC 211 High St Dedham MA 02026-2852 Ph: (781) 326-6260 | Dental Park LLC 211 High St Dedham MA 02026-2852 Ph: (781) 326-6260 |
| NPI Number | 1932665411 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 01/31/2023 |
| Certification Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932665411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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