Individual
DR. DONGSUK PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1352 IRVINE BLVD, TUSTIN, CA 92780-3549
(714) 734-0900
(714) 734-0906
Mailing address
1352 IRVINE BLVD, TUSTIN, CA 92780-3549
(714) 734-0900
(714) 734-0906
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50807
CA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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