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Individual

CHLOE MIHYEONHAN PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1687 HYACINTH AVE, REDLANDS, CA 92373-4217
(909) 645-1129
Mailing address
1687 HYACINTH AVE, REDLANDS, CA 92373-4217

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64557
CA
1223G0001X
General Practice Dentistry
DDS64557
CA

Other

Enumeration date
09/17/2015
Last updated
09/22/2022
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