Individual
JOSEPH PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
925 W FOOTHILL BLVD STE C, MONROVIA, CA 91016-1930
(626) 408-0800
Mailing address
925 W FOOTHILL BLVD STE C, MONROVIA, CA 91016-1930
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
64009
CA
Other
Enumeration date
09/19/2014
Last updated
08/29/2022
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