Individual
RICHARD PAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 W BEVERLY BLVD STE B, MONTEBELLO, CA 90640-3660
(310) 804-5479
Mailing address
600 W BEVERLY BLVD STE B, MONTEBELLO, CA 90640-3660
(310) 804-5479
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
60077
CA
Other
Enumeration date
02/09/2009
Last updated
04/30/2024
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