Organization
ARVIN DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOO TAE PARK DDS (OWNER/PRESIDENT)
(562) 756-2573
Entity
Organization
Contact information
Practice address
101 COMANCHE DR, ARVIN, CA 93203-2402
(661) 854-5558
(661) 854-2696
Mailing address
PO BOX 172, ARVIN, CA 93203-0172
(661) 854-5558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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