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Organization
KOH AND PARK DDS INC
Active
Organization
KOH AND PARK DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNG WOOK PARK DDS (CEO)
(909) 553-3786
Entity
Organization
Contact information
Practice address
24953 PASEO DE VALENCIA STE 13C, LAGUNA HILLS, CA 92653-4344
(949) 600-7123
(949) 305-8679
Mailing address
24953 PASEO DE VALENCIA STE 13C, LAGUNA HILLS, CA 92653-4344
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/19/2024
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