MRS. Jeanette Genkyung Park, RDH

NPI #1942557962 in Banning, California

Provider Information

NPI Number: 1942557962
Entity Type: Individual
Name: MRS. Jeanette Genkyung Park, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Aug 8, 2012
Last Updated: Aug 8, 2012

Practice Location

Address: 6350 W RAMSEY ST
Address 2: SUITE A
City: Banning
State: California
ZIP Code: 92220-3062
Phone: (951) 769-0466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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