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Organization
WOO SUNG PARK DENTAL CORP
Active
Organization
WOO SUNG PARK DENTAL CORP
Active
Other names
Elite Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WOO SUNG PARK (OWNER)
(714) 553-5977
Entity
Organization
Contact information
Practice address
3130 W OLYMPIC BLVD STE 320, LOS ANGELES, CA 90006-2494
(323) 766-2888
Mailing address
3130 W OLYMPIC BLVD STE 320, LOS ANGELES, CA 90006-2494
(323) 766-2888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
54186
CA
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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