Organization
KOH AND PARK DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNG WOOK PARK DDS (CEO)
(909) 553-3786
Entity
Organization
Contact information
Practice address
24953 PASEO DE VALENCIA STE 13C, LAGUNA HILLS, CA 92653-4344
(949) 600-7123
(949) 305-8679
Mailing address
24953 PASEO DE VALENCIA STE 13C, LAGUNA HILLS, CA 92653-4344
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/19/2024
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