Stephen Jin Park DDS

NPI 1760561450 - Dentist - 1223G0001X

NPI Details
NPI 1760561450
Gender Male
Enumeration Date 11/03/2006
Last Updated 08/14/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
550 E DEL AMO BLVD
CARSON CA, 90746-3314, US
Phone (310) 515-5672
Fax
Business Location
1130 VU AVE
FULLERTON CA, 92833-5751, US
Phone (714) 871-9159
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 49971
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According to our database, Stephen Jin Park DDS NPI is 1760561450, taxonomy code is 1223G0001X and license number is 49971, license state is located at California. Stephen Jin Park DDS physically located at 550 E Del Amo Blvd, Carson CA, 90746-3314. NPI Number Stephen Jin Park DDS has the Individual type.

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1760561450 NPI number is provided on an as is basis without warranty of any kind. 1760561450 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Jin Park DDS are for informational purposes only.