Jisook Frances Park DDS

NPI 1396945762 - Dentist - 122300000X

NPI Details
NPI 1396945762
Gender Female
Enumeration Date 07/23/2007
Last Updated 07/23/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2021 YGNACIO VALLEY ROAD
SUITE B-4
WALNUT CREEK CA, 94598, US
Phone (925) 977-8230
Fax (929) 932-1150
Business Location
2021 YGNACIO VALLEY ROAD
SUITE B-4
WALNUT CREEK CA, 94598, US
Phone (925) 977-8230
Fax (929) 932-1150
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 45307
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According to our database, Ms. Jisook Frances Park DDS NPI is 1396945762, taxonomy code is 122300000X and license number is 45307, license state is located at California. Jisook Frances Park DDS physically located at 2021 Ygnacio Valley Road, Walnut Creek CA, 94598. NPI Number Jisook Frances Park DDS has the Individual type.

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1396945762 NPI number is provided on an as is basis without warranty of any kind. 1396945762 is maintained by the National Plan & Provider Enumeration System. The contents of Jisook Frances Park DDS are for informational purposes only.