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Organization

WONDERKIDS DENTAL COMPTON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUNMOOK PARK DDS (DENTIST)
(916) 601-7802
Entity
Organization

Contact information

Practice address
14309 S ATLANTIC AVE STE 104, COMPTON, CA 90221-2562
(916) 601-7802
Mailing address
14309 S ATLANTIC AVE STE 104, COMPTON, CA 90221-2562

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043825771
CA
Enumeration date
07/10/2024
Last updated
07/11/2024
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