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Individual

DR. EDWARD PAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
5252 ORANGE AVE, SUITE 110, CYPRESS, CA 90630-2967
(714) 828-5252
(714) 828-7888
Mailing address
5252 ORANGE AVE, SUITE 110, CYPRESS, CA 90630-2967
(714) 828-5252
(714) 828-7888

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34644
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B34644-02
DENTI-CAL
CA
Enumeration date
09/19/2007
Last updated
09/19/2007
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