Organization
GENE H PARK DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE H PARK D.D.S. (PRESIDENT)
(714) 530-1948
Entity
Organization
Contact information
Practice address
9240 GARDEN GROVE BLVD STE 1, GARDEN GROVE, CA 92844-1400
(714) 530-1948
(714) 530-1186
Mailing address
9240 GARDEN GROVE BLVD STE 1, GARDEN GROVE, CA 92844-1400
(714) 530-1948
(714) 530-1186
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49631
CA
Other
Enumeration date
09/02/2015
Last updated
11/15/2017
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