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Organization
KIM&PARK A DENTAL CORPORATION
Active
Organization
KIM&PARK A DENTAL CORPORATION
Active
Parent organization
KIM&PARK A DENTAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIM&PARK A DENTAL CORPORATION
Authorized official
CHARLES C PARK DDS (PRESIDENT)
(951) 656-0088
Entity
Organization
Contact information
Practice address
3400 S LA BREA AVE, LOS ANGELES, CA 90016-5217
(323) 734-2284
(323) 734-3178
Mailing address
3400 S LA BREA AVE, LOS ANGELES, CA 90016-5217
(323) 734-2284
(323) 734-3178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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