| Paul Park Dental Corporation | |
|
8415 Pine Ave Ste 180 Chino CA 91708-9640 | |
| (909) 757-8357 | |
| (909) 770-5710 |
| Full Name | Paul Park Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8415 Pine Ave Ste 180, Chino, California |
| Authorized Official Name and Position | Paul Park (OWNER) |
| Authorized Official Contact | 9097578357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Park Dental Corporation Po Box 920050 Dallas TX 75392-0050 Ph: () - | Paul Park Dental Corporation 8415 Pine Ave Ste 180 Chino CA 91708-9640 Ph: (909) 757-8357 |
| NPI Number | 1538910963 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538910963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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