Individual
STEPHEN JIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
925 W 34TH ST # 124C, LOS ANGELES, CA 90089-0058
(213) 740-0655
Mailing address
901 NORTHAMPTON WAY, FULLERTON, CA 92833-1413
(714) 732-0369
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
49971
CA
Other
Enumeration date
11/03/2006
Last updated
07/21/2022
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