Organization
BRIAN PARK, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PARK DDS (PRESIDENT)
(720) 470-3277
Entity
Organization
Contact information
Practice address
44066 MARGARITA RD STE 1, TEMECULA, CA 92592-2779
(951) 302-6222
Mailing address
44066 MARGARITA RD STE 1, TEMECULA, CA 92592-2779
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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