| Hyunjung Holly Park, D.d.s., Inc. | |
|
331 Tall Oak Irvine CA 92603-0662 | |
| (714) 357-9333 | |
| Not Available |
| Full Name | Hyunjung Holly Park, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 331 Tall Oak, Irvine, California |
| Authorized Official Name and Position | Holly H Park-nah (CEO SECRETARY CFO) |
| Authorized Official Contact | 7143579333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hyunjung Holly Park, D.d.s., Inc. 331 Tall Oak Irvine CA 92603 Ph: (714) 357-9333 | Hyunjung Holly Park, D.d.s., Inc. 331 Tall Oak Irvine CA 92603-0662 Ph: (714) 357-9333 |
| NPI Number | 1609926849 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 07/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609926849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 54476 (California) | Primary |
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