Individual
BOJUN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1112 S. BRISTOL ST., SANTA ANA, CA 92704
(714) 668-9884
(714) 668-0381
Mailing address
10337 ANTIGUA CT, GARDEN GROVE, CA 92840-6360
(714) 887-3397
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56290
CA
Other
Enumeration date
09/10/2007
Last updated
05/08/2017
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