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Individual

DAWNELLE PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
3655 LOMITA BLVD, TORRANCE, CA 90505-3931
(310) 303-3860
Mailing address
2651 BAYPORT DR, TORRANCE, CA 90503-8923
(310) 751-4188

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61775
CA

Other

Enumeration date
06/24/2011
Last updated
11/26/2016
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