Marisa Park
NPI #1528702826 in La Mirada, California
Provider Information
- NPI Number
- 1528702826
- Entity Type
- Individual
- Name
- Marisa Park
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- Apr 22, 2022
- Last Updated
- Apr 22, 2022
Practice Location
- Address
- 14340 ALICANTE RD
- City
- La Mirada
- State
- California
- ZIP Code
- 90638-3607
- Phone
- (626) 607-6642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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