Individual
DR. SIL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
10833 LE CONTE AVE RM A0-156B, UC REGENTS MAXILLOFACIAL PROSTHETICS, LOS ANGELES, CA 90095-1668
(310) 825-5889
(310) 825-6345
Mailing address
10833 LE CONTE AVE RM A0-156B, UC REGENTS MAXILLOFACIAL PROSTHODONTICS, LOS ANGELES, CA 90095-1668
(310) 825-5889
(310) 825-6345
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
59494
CA
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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