Organization
JINO PARK DDS INC
Active
Other names
LF Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JINO PARK DDS (CEO)
(909) 969-3503
Entity
Organization
Contact information
Practice address
22611 LAKE FOREST DR STE C5, LAKE FOREST, CA 92630-1700
(909) 969-3503
Mailing address
106 ROTUNDA, IRVINE, CA 92620-7325
(909) 969-3503
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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