Yong Jun David Park DDS MD

NPI 1215114301 - Dentist - 1223S0112X

NPI Details
NPI 1215114301
Gender Male
Enumeration Date 01/30/2008
Last Updated 08/04/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
12565 HESPERIA RD STE 2
VICTORVILLE CA, 92395-8318, US
Phone (760) 952-1900
Fax
Business Location
12565 HESPERIA RD STE 2
VICTORVILLE CA, 92395-8318, US
Phone (760) 952-1900
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State California
License Number 52768
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According to our database, Dr. Yong Jun David Park DDS MD NPI is 1215114301, taxonomy code is 1223S0112X and license number is 52768, license state is located at California. Yong Jun David Park DDS MD physically located at 12565 Hesperia Rd Ste 2, Victorville CA, 92395-8318. NPI Number Yong Jun David Park DDS MD has the Individual type.

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1215114301 NPI number is provided on an as is basis without warranty of any kind. 1215114301 is maintained by the National Plan & Provider Enumeration System. The contents of Yong Jun David Park DDS MD are for informational purposes only.