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Individual

DR. PHILIP EUNPIL PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5363 N ANTIOCH RD, KANSAS CITY, MO 64119-1559
(949) 813-5040
Mailing address
5363 N ANTIOCH RD, KANSAS CITY, MO 64119-1559

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2018025504
MO
122300000X
Dentist
62775
CA

Other

Enumeration date
10/05/2009
Last updated
03/12/2025
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