Woojung Park

NPI 1417221052 - Dentist - 122300000X

NPI Details
NPI 1417221052
Gender Female
Enumeration Date 02/29/2012
Last Updated 02/29/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
4710 LA SIERRA AVE
RIVERSIDE CA, 92505-2726, US
Phone (951) 324-8180
Fax
Business Location
11213 DUMETZ LN
LOMA LINDA CA, 92354-6578, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 60750
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According to our database, Woojung Park NPI is 1417221052, taxonomy code is 122300000X and license number is 60750, license state is located at California. Woojung Park physically located at 4710 La Sierra Ave, Riverside CA, 92505-2726. NPI Number Woojung Park has the Individual type.

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1417221052 NPI number is provided on an as is basis without warranty of any kind. 1417221052 is maintained by the National Plan & Provider Enumeration System. The contents of Woojung Park are for informational purposes only.