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Organization
PAK DENTAL INC.
Active
Organization
PAK DENTAL INC.
Active
Other names
U Shine Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONGSON PAK DDS (PRESIDENT)
(626) 404-2222
Entity
Organization
Contact information
Practice address
888 BREA CANYON RD STE 360, DIAMOND BAR, CA 91789-3096
(626) 404-2222
(626) 965-5685
Mailing address
888 BREA CANYON RD STE 360, DIAMOND BAR, CA 91789-3096
(626) 404-2222
(626) 965-5685
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41507
CA
Other
Enumeration date
11/14/2015
Last updated
01/30/2024
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