Individual
DR. SUE JEAN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
530 S LAKE AVE # 534, PASADENA, CA 91101-3515
(562) 201-2221
Mailing address
530 S LAKE AVE # 534, PASADENA, CA 91101-3515
(562) 201-2221
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
58385
CA
Other
Enumeration date
12/22/2009
Last updated
11/03/2025
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