Park Dental Group INC

NPI #1952877854 in Lake Forest, California

Provider Information

NPI Number
1952877854
Entity Type
Organization
Organization Name
Park Dental Group INC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 17, 2018
Last Updated
Feb 14, 2019

Practice Location

Address
22611 LAKE FOREST DR
ZIP Code
92630-1700
Phone
(909) 543-5075

Authorized Official

Name
TAE HOON PARK, DDS
Title
CEO
Phone
(909) 543-5075

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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