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Organization
KIM&PARK A DENTAL CORPORATION
Active
Organization
KIM&PARK A DENTAL CORPORATION
Active
Parent organization
KIM&PARK A DENTAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIM&PARK A DENTAL CORPORATION
Authorized official
CHARLES C PARK DDS (PRESIDENT)
(909) 610-0565
Entity
Organization
Contact information
Practice address
1374 W FOOTHILL BLVD STE 2E, RIALTO, CA 92376-4621
(909) 874-7444
(909) 874-7453
Mailing address
1374 W FOOTHILL BLVD STE 2E, RIALTO, CA 92376-4621
(909) 874-7444
(909) 874-7453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50087
CA
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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