| Robert Taehong Park Dds, Inc. | |
|
4220 W 3rd St Ste 202 Los Angeles CA 90020-3450 | |
| (213) 382-3215 | |
| Not Available |
| Full Name | Robert Taehong Park Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 4220 W 3rd St, Los Angeles, California |
| Authorized Official Name and Position | Robert Park (C.E.O.) |
| Authorized Official Contact | 2133823215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Taehong Park Dds, Inc. 4220 W 3rd St Ste 202 Los Angeles CA 90020-3450 Ph: () - | Robert Taehong Park Dds, Inc. 4220 W 3rd St Ste 202 Los Angeles CA 90020-3450 Ph: (213) 382-3215 |
| NPI Number | 1164542635 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164542635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 33351 (California) | Primary |
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