Organization
JUN GYU PARK, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUN GYU PARK DDS (CEO)
(714) 539-1004
Entity
Organization
Contact information
Practice address
12372 EUCLID ST, GARDEN GROVE, CA 92840-3308
(714) 539-1004
Mailing address
12372 EUCLID ST, GARDEN GROVE, CA 92840-3308
(714) 539-1004
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
101441
CA
Other
Enumeration date
11/03/2017
Last updated
12/17/2017
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