| Sung Wook Park Dds Inc. | |
|
14930 Imperial Hwy Ste D La Mirada CA 90638-2100 | |
| (562) 777-1234 | |
| (562) 777-2345 |
| Full Name | Sung Wook Park Dds Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14930 Imperial Hwy Ste D, La Mirada, California |
| Authorized Official Name and Position | Sung Wook Park (CEO) |
| Authorized Official Contact | 9095533786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sung Wook Park Dds Inc. 14930 Imperial Hwy Ste D La Mirada CA 90638-2100 Ph: (562) 777-1234 | Sung Wook Park Dds Inc. 14930 Imperial Hwy Ste D La Mirada CA 90638-2100 Ph: (562) 777-1234 |
| NPI Number | 1184233538 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 07/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184233538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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