Organization
PARK AND PARK DENTAL GROUP PARTNERSHIP
Active
Other names
Smile Builder
Organization subpart
No
Provider details
NPI number
Authorized official
MYUNG KEE PARK DDS (OWNER)
(909) 524-6119
Entity
Organization
Contact information
Practice address
473 E ALESSANDRO BLVD STE A, RIVERSIDE, CA 92508-6021
(951) 789-6886
(951) 780-1998
Mailing address
473 E ALESSANDRO BLVD STE A, RIVERSIDE, CA 92508-6021
(951) 789-6886
(951) 780-1998
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
10/14/2020
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