Individual
JAMES KEONUK PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1950 SUNNYCREST DR, SUITE 3300, FULLERTON, CA 92835-3638
(714) 870-6120
(714) 870-6869
Mailing address
1950 SUNNYCREST DR, SUITE 3300, FULLERTON, CA 92835-3638
(714) 870-6120
(714) 870-6869
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
22DI02283700
NJ
1223P0221X
Pediatric Dentistry
Primary
57027
CA
Other
Enumeration date
01/30/2007
Last updated
07/07/2008
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