| Sgp Services LLC | |
|
285 Elm St Ste 103 Cumming GA 30040-8233 | |
| (678) 455-7828 | |
| Not Available |
| Full Name | Sgp Services LLC |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 285 Elm St Ste 103, Cumming, Georgia |
| Authorized Official Name and Position | Seon Gyeong Park (DENTIST) |
| Authorized Official Contact | 6784557828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sgp Services LLC 285 Elm St Ste 103 Cumming GA 30040-8233 | Sgp Services LLC 285 Elm St Ste 103 Cumming GA 30040-8233 Ph: (678) 455-7828 |
| NPI Number | 1811656663 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 02/20/2022 |
| Certification Date | 02/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811656663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | () | Primary |
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