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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JI EUN PARK

Active Sole Proprietor

JI EUN PARK is a Dental Hygienist healthcare provider located in DULUTH, Georgia. NPI 1780200089 is currently active in the NPPES registry. Verify at CMS.

Dental Hygienist · DULUTH, GA

Registration Details

NPI Number
1780200089
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2020 (6.126007134776 yrs)
Last Updated
Dec 29, 2023
License
DH007607 (GA)
Sole Proprietor
Yes

Practice Information

Address
4855 RIVER GREEN PKWY STE 110
DULUTH, GA, 300968333
Browse GA providers · Browse ZIP 30096
Phone
7705003757
Primary Specialty
Dental Hygienist
124Q00000X
Additional Specialty
Dental Hygienist

Other Dental Hygienist Providers in DULUTH, GA

Name Credential NPI
LIGITA LIZUNIENE RDH 1174152078
ALINA D SIMONCA 1043819758
ALICIA VIVIANA SUAREZ 1982270849
SO Y LEE RDH 1609580232
TIFFANY JOHNNICANS RDH 1659169092
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.