Organization
JIN H PARK DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIN HWI PARK DDS (PRESIDENT)
(951) 354-2000
Entity
Organization
Contact information
Practice address
9295 MAGNOLIA AVE STE 103, RIVERSIDE, CA 92503-3800
(951) 354-2000
(951) 354-0029
Mailing address
9295 MAGNOLIA AVE STE 103, RIVERSIDE, CA 92503-3800
(951) 354-2000
(951) 354-0029
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
58022
CA
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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