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Organization
KWANG S. PARK, DDS, INC.
Active
Organization
KWANG S. PARK, DDS, INC.
Active
Other names
Mission Bay Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWANG SEO PARK DDS (DENTIST/ CEO)
(858) 270-1400
Entity
Organization
Contact information
Practice address
3023 BUNKER HILL ST STE 101, SAN DIEGO, CA 92109-5706
(858) 270-1400
(858) 270-1424
Mailing address
3023 BUNKER HILL ST STE 101, SAN DIEGO, CA 92109-5706
(858) 270-1400
(858) 270-1424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49384
CA
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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