NPI 1780200089

Ji Eun Park

Practitioner Dental Hygienist Duluth, GA

Practice location

Address: 4855 River Green Pkwy STE 110, Duluth, GA 30096-8333
Phone: (770) 500-3757
Mailing address: 3150 Woodwalk Dr SE Unit 1105, Atlanta, GA 30339-8482

Registered specialties (2)

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH007607 (GA)

Other Dental Hygienist providers in Georgia →

Dental Hygienist

Dental Providers Taxonomy 124Q00000X

Registry record

NPI: 1780200089
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2020
Record last updated: 29 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.