Search › Texas › 1223G0001X
Kwonil Park, DDS
NPI 1740306414 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1017 E Trinity Mills Rd
Suite 102
Carrollton, TX 75006 - Phone
- (972) 446-7733
- Fax
- (972) 446-0088
- Organisation at this address
- Logos Assocation Inc.
Total Dental Care PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- IL, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-01-11
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 Texas