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Organization
PARK AND PARK DENTAL GROUP PARTNERSHIP
Active
Organization
PARK AND PARK DENTAL GROUP PARTNERSHIP
Active
Other names
Smile Builder
Organization subpart
No
Provider details
NPI number
Authorized official
MYUNG KEE PARK DDS (OWNER)
(909) 524-6119
Entity
Organization
Contact information
Practice address
473 E ALESSANDRO BLVD STE A, RIVERSIDE, CA 92508-6021
(951) 789-6886
(951) 780-1998
Mailing address
473 E ALESSANDRO BLVD STE A, RIVERSIDE, CA 92508-6021
(951) 789-6886
(951) 780-1998
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/14/2020
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