Organization
CARING FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MIEUN PARK-LEE DDS (OWNER/PARTNER)
(909) 888-5499
Entity
Organization
Contact information
Practice address
1063 N D ST, SAN BERNARDINO, CA 92410-3539
(909) 888-5499
(909) 888-5611
Mailing address
1063 N D ST, SAN BERNARDINO, CA 92410-3539
(909) 888-5499
(909) 888-5611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
36091
CA
122300000X
Dentist
Primary
40976
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9164701
DENTI-CAL
CA
Enumeration date
08/03/2012
Last updated
08/03/2012
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