Jino Park DDS INC
NPI #1568092401 in Lake Forest, California
Provider Information
- NPI Number
- 1568092401
- Entity Type
- Organization
- Organization Name
- Jino Park DDS INC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 20, 2020
- Last Updated
- Jan 20, 2020
Practice Location
- Address
- 22611 LAKE FOREST DR STE C5
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-1700
- Phone
- (909) 969-3503
Authorized Official
- Name
- JINO PARK, DDS
- Title
- CEO
- Phone
- (909) 969-3503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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