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Organization
WON BO PARK DDS APC
Active
Organization
WON BO PARK DDS APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE YUNSUK PARK (OFFICE MANAGER)
(909) 263-7768
Entity
Organization
Contact information
Practice address
1105 S. EUCLID ST. SUITE E, FULLERTON, CA 92832
(714) 738-0304
(213) 380-2419
Mailing address
1105 S. EUCLID ST. SUITE E, FULLERTON, CA 92832
(714) 738-0304
(213) 380-2419
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40048
HEALTHY FAMILY
CA
05
—
B40048
—
CA
Enumeration date
04/07/2010
Last updated
11/03/2017
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