Organization
JOSEPH PARK DDS INC
Active
Other names
Sprout Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PARK (PRESIDENT)
(626) 408-0800
Entity
Organization
Contact information
Practice address
925 W FOOTHILL BLVD STE C, MONROVIA, CA 91016-1930
(626) 408-0800
Mailing address
925 W FOOTHILL BLVD STE C, MONROVIA, CA 91016-1930
(626) 408-0800
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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