Jc Park DDS INC
NPI #1609636810 in Rialto, California
Provider Information
- NPI Number
- 1609636810
- Entity Type
- Organization
- Organization Name
- Jc Park DDS INC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 22, 2024
- Last Updated
- Mar 22, 2024
Practice Location
- Address
- 1505 S RIVERSIDE AVE UNIT B
- City
- Rialto
- State
- California
- ZIP Code
- 92376-7725
- Phone
- (909) 440-5345
Authorized Official
- Name
- JAECHAN PARK, DDS
- Title
- CEO
- Phone
- (626) 454-0159
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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