| Dental Practice Of Jonah J Park Dds Inc | |
|
7840 Firestone Blvd Ste 106 Downey CA 90241-4257 | |
| (562) 923-0997 | |
| Not Available |
| Full Name | Dental Practice Of Jonah J Park Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7840 Firestone Blvd Ste 106, Downey, California |
| Authorized Official Name and Position | Jonah Park (PRESIDENT) |
| Authorized Official Contact | 9179028466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Practice Of Jonah J Park Dds Inc 7840 Firestone Blvd Ste 106 Downey CA 90241-4257 Ph: (562) 923-0997 | Dental Practice Of Jonah J Park Dds Inc 7840 Firestone Blvd Ste 106 Downey CA 90241-4257 Ph: (562) 923-0997 |
| NPI Number | 1629546304 |
|---|---|
| Provider Enumeration Date | 11/11/2018 |
| Last Update Date | 10/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629546304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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