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Organization
JIN S PARK DDS PC
Active
Organization
JIN S PARK DDS PC
Active
Other names
Paramount Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIN S PARK DDS (CEO)
(562) 633-6566
Entity
Organization
Contact information
Practice address
8428 ALONDRA BLVD, PARAMOUNT, CA 90723-4406
(562) 633-6566
(562) 633-3308
Mailing address
8428 ALONDRA BLVD, PARAMOUNT, CA 90723-4406
(562) 633-6566
(562) 633-3308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37476
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B 37476
—
CA
Enumeration date
03/05/2007
Last updated
08/22/2020
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