<TABLE><TR><TH>요양기관명</TH><TH>전문의</TH><TH>전화번호</TH><TH>주소</TH></TR><TR><TD>시원치과의원</TD><TD>1 / 1</TD><TD>062-951-0128</TD><TD>광주광역시 광산구 용아로379번길 29, 2층 (산정동)</TD></TR></TABLE>