Organization
JINO PARK DDS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINO PARK DDS (OWNER)
(909) 969-3503
Entity
Organization
Contact information
Practice address
24950 REDLANDS BLVD STE B, LOMA LINDA, CA 92354-4028
(909) 478-9777
(909) 478-9526
Mailing address
24950 REDLANDS BLVD STE B, LOMA LINDA, CA 92354-4028
(909) 478-9777
(909) 478-9526
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
05/21/2025
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