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Organization
KEVIN PARK, DDS, INC.
Active
Organization
KEVIN PARK, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PARK DDS (OWNER)
(626) 215-5810
Entity
Organization
Contact information
Practice address
104 W 7TH ST, LOS ANGELES, CA 90014-1906
(626) 215-5810
Mailing address
104 W 7TH ST, LOS ANGELES, CA 90014-1906
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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