Ethan Park Dmd INC
NPI #1275117491 in Temple City, California
Provider Information
- NPI Number
- 1275117491
- Entity Type
- Organization
- Organization Name
- Ethan Park Dmd INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 12, 2021
- Last Updated
- Jul 13, 2023
Practice Location
- Address
- 5728 ROSEMEAD BLVD SUITE 220
- City
- Temple City
- State
- California
- ZIP Code
- 91780-1814
- Phone
- (626) 500-4340
Authorized Official
- Name
- DR. ETHAN SB PARK, DDS
- Title
- OWNER DENTIST
- Phone
- (213) 220-4856
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - General Practice — General Practice |
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