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Organization

PAUL J. PARK PLLC

Active
Other names
ELITE CARE DENTAL
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL JAHNG PARK DDS (MANAGING MEMBER)
(424) 402-2933
Entity
Organization

Contact information

Practice address
5550 S FORT APACHE RD STE 101, LAS VEGAS, NV 89148-7667
(424) 402-2933
Mailing address
620 HUNTER FLAT ST, LAS VEGAS, NV 89138-1111

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/10/2025
Last updated
06/10/2025
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