Changsu Park, D. D. S.
NPI #1548441033 in Represa, California
Provider Information
- NPI Number
- 1548441033
- Entity Type
- Individual
- Name
- Changsu Park, D. D. S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D. D. S.
- Enumeration Date
- Nov 26, 2007
- Last Updated
- Mar 7, 2016
Practice Location
- Address
- 100 PRISON RD
- City
- Represa
- State
- California
- ZIP Code
- 95671-0002
- Phone
- (916) 985-8610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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