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Individual

DR. GENE PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
18952 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-7306
(714) 716-1155
Mailing address
1641 VIA SEVILLA ST, CORONA, CA 92881-0778
(559) 970-2177

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DDS108692
CA

Other

Enumeration date
05/07/2020
Last updated
06/04/2026
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