Organization
PARK CHO DENTAL PARTNERSHIP
Active
Other names
La Mirada One Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SUNG WOOK PARK (CEO)
(909) 553-3786
Entity
Organization
Contact information
Practice address
14930 IMPERIAL HWY STE D, LA MIRADA, CA 90638-2100
(562) 777-1234
Mailing address
14930 IMPERIAL HWY STE D, LA MIRADA, CA 90638-2100
(562) 777-1234
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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