| Sherie Park Dental, Inc | |
|
3663 W 6th St Ste 110 Los Angeles CA 90020-3047 | |
| (213) 380-1767 | |
| Not Available |
| Full Name | Sherie Park Dental, Inc |
|---|---|
| Speciality | Dentist |
| Location | 3663 W 6th St Ste 110, Los Angeles, California |
| Authorized Official Name and Position | Sherie Park (OWNER DENTIST) |
| Authorized Official Contact | 2133801767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherie Park Dental, Inc 3663 W 6th St Ste 110 Los Angeles CA 90020-3047 Ph: (213) 380-1767 | Sherie Park Dental, Inc 3663 W 6th St Ste 110 Los Angeles CA 90020-3047 Ph: (213) 380-1767 |
| NPI Number | 1760906887 |
|---|---|
| Provider Enumeration Date | 07/31/2017 |
| Last Update Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760906887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 57922 (California) | Primary |
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