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1950 Sunnycrest Dr Suite 3300 Fullerton CA 92835-3638 | |
(714) 870-6120 | |
(714) 870-6869 |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1950 Sunnycrest Dr, Fullerton, California |
Authorized Official Name and Position | James Keonuk Park (PRESIDENT) |
Authorized Official Contact | 7148706120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1950 Sunnycrest Dr Suite 3300 Fullerton CA 92835-3638 Ph: (714) 870-6120 | 1950 Sunnycrest Dr Suite 3300 Fullerton CA 92835-3638 Ph: (714) 870-6120 |
NPI Number | 1790936060 |
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Provider Enumeration Date | 10/06/2008 |
Last Update Date | 03/17/2020 |
Identifier | Type | State | Issuer |
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1790936060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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