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Organization
PARK CHO DENTAL PARTNERSHIP
Active
Organization
PARK CHO DENTAL PARTNERSHIP
Active
Other names
La Mirada One Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SUNG WOOK PARK (CEO)
(909) 553-3786
Entity
Organization
Contact information
Practice address
14930 IMPERIAL HWY STE D, LA MIRADA, CA 90638-2100
(562) 777-1234
Mailing address
14930 IMPERIAL HWY STE D, LA MIRADA, CA 90638-2100
(562) 777-1234
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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