Individual
DR. CHAN HEE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1812 LINDA VISTA AVE, PASADENA, CA 91103-1149
(213) 703-3481
Mailing address
1812 LINDA VISTA AVE, PASADENA, CA 91103-1149
(213) 703-3481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
106426
CA
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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