Organization
WOO SUNG PARK DENTAL CORP
Active
Other names
Elite Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WOO SUNG PARK (OWNER)
(714) 553-5977
Entity
Organization
Contact information
Practice address
3130 W OLYMPIC BLVD STE 320, LOS ANGELES, CA 90006-2494
(323) 766-2888
Mailing address
3130 W OLYMPIC BLVD STE 320, LOS ANGELES, CA 90006-2494
(323) 766-2888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
54186
CA
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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