Timothy C Park Dds, INC
NPI #1255935771 in South Gate, California
Provider Information
- NPI Number
- 1255935771
- Entity Type
- Organization
- Organization Name
- Timothy C Park Dds, INC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 25, 2020
- Last Updated
- Jan 14, 2021
Practice Location
- Address
- 12122 GARFIELD AVE
- City
- South Gate
- State
- California
- ZIP Code
- 90280-8033
- Phone
- (714) 501-3433
Authorized Official
- Name
- DR. TIMOTHY CHANGKEUN PARK, DDS
- Title
- HEAD DOCTOR
- Phone
- (714) 501-3433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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