Individual
EDWIN M H PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
95 N REINO ROAD, NEWBURY PARK, CA 91320-3708
(805) 498-6640
(805) 498-6640
Mailing address
95 N REINO ROAD, NEWBURY PARK, CA 91320-3708
(805) 498-6640
(805) 498-6640
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19375
CA
Other
Enumeration date
08/09/2006
Last updated
08/17/2012
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