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Organization
WON H PARK DDS INC
Active
Organization
WON H PARK DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WON H PARK (PRESIDENT)
(951) 693-9595
Entity
Organization
Contact information
Practice address
29700 RANCHO CALIFORNIA RD STE G5, TEMECULA, CA 92591-5293
(951) 693-9595
Mailing address
29700 RANCHO CALIFORNIA RD STE G5, TEMECULA, CA 92591-5293
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48534
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93932
DENTI-CAL
CA
Enumeration date
07/11/2007
Last updated
07/11/2007
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