| Gene H Park Dds, Inc | |
|
9240 Garden Grove Blvd Ste 1 Garden Grove CA 92844-1400 | |
| (714) 530-1948 | |
| (714) 530-1186 |
| Full Name | Gene H Park Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9240 Garden Grove Blvd Ste 1, Garden Grove, California |
| Authorized Official Name and Position | Gene H Park (PRESIDENT) |
| Authorized Official Contact | 7145301948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gene H Park Dds, Inc 9240 Garden Grove Blvd Ste 1 Garden Grove CA 92844-1400 Ph: (714) 530-1948 | Gene H Park Dds, Inc 9240 Garden Grove Blvd Ste 1 Garden Grove CA 92844-1400 Ph: (714) 530-1948 |
| NPI Number | 1093183410 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 11/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093183410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 49631 (California) | Primary |
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