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Individual
DR. WONPYO ERIC PARK
Active
Individual
DR. WONPYO ERIC PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56613
CA
122300000X
Dentist
DE00010771
WA
1223G0001X
General Practice Dentistry
4956T
NV
Other
Enumeration date
02/01/2007
Last updated
06/10/2021
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