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Individual

DAVID PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3150 WILSHIRE BLVD APT 2514, LOS ANGELES, CA 90010-1370
(661) 476-2009
Mailing address
3150 WILSHIRE BLVD APT 2514, LOS ANGELES, CA 90010-1370
(661) 476-2009

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109001
CA

Other

Enumeration date
04/24/2023
Last updated
02/20/2025
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