Tae Een Park,d.d.s.,inc
NPI #1063889558 in Oakdale, California
Provider Information
- NPI Number
- 1063889558
- Entity Type
- Organization
- Organization Name
- Tae Een Park,d.d.s.,inc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 31, 2015
- Last Updated
- Aug 31, 2015
Practice Location
- Address
- 190 S OAK AVE STE 6
- City
- Oakdale
- State
- California
- ZIP Code
- 95361-3528
- Phone
- (209) 847-2800
Authorized Official
- Name
- TAE EEN PARK, DDS
- Title
- CEO
- Phone
- (209) 847-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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