Organization
SUNG WOOK PARK DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. 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
(562) 777-2345
Mailing address
14930 IMPERIAL HWY STE D, LA MIRADA, CA 90638-2100
(562) 777-1234
(562) 777-2345
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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