Kim&park a Dental Corporation

NPI #1912226804 in Rialto, California

Provider Information

NPI Number
1912226804
Entity Type
Organization
Organization Name
Kim&park a Dental Corporation
Subpart
Yes (part of a larger organization)
Parent Organization
KIM&PARK A DENTAL CORPORATION
Primary Specialty
Dentist - General Practice
Enumeration Date
May 18, 2010
Last Updated
May 18, 2010

Practice Location

Address
1374 W FOOTHILL BLVD STE 2E
City
Rialto
ZIP Code
92376-4621
Phone
(909) 874-7444

Authorized Official

Name
CHARLES C PARK, DDS
Title
PRESIDENT
Phone
(909) 610-0565

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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