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Organization
PARK, D.M.D., CORP.
Active
Organization
PARK, D.M.D., CORP.
Active
Other names
Park, D.M.D., Corp.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNGHAE PARK DMD (DENTIST/OWNER)
(310) 542-5558
Entity
Organization
Contact information
Practice address
16709 HAWTHORNE BLVD, LAWNDALE, CA 90260-3244
(310) 542-5558
(310) 542-4309
Mailing address
16709 HAWTHORNE BLVD, LAWNDALE, CA 90260-3244
(310) 542-5558
(310) 542-4309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
57834
CA
Other
Enumeration date
07/24/2010
Last updated
07/24/2010
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