Organization
TIMOTHY C PARK DDS, INC
Active
Other names
Oxy Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY CHANGKEUN PARK DDS (HEAD DOCTOR)
(714) 501-3433
Entity
Organization
Contact information
Practice address
12122 GARFIELD AVE, SOUTH GATE, CA 90280-8033
(714) 501-3433
Mailing address
12124 GARFIELD AVE, SOUTH GATE, CA 90280-8033
(323) 775-9070
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
01/14/2021
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