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Ji Won Park, DMD
NPI 1255984324 · on the registry since 2019
Practice
- Address
- 1605 Roberta Dr Sw
Marietta, GA 30008 - Phone
- (770) 419-3120
- Organisation at this address
- Good Samaritan Health Center Of Cobb
Good Samaritan Health Center Of CobbInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia