| Tim Park Dds Inc | |
|
1127 Wilshire Blvd Ste 404 Los Angeles CA 90017-3905 | |
| (323) 600-5287 | |
| Not Available |
| Full Name | Tim Park Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1127 Wilshire Blvd Ste 404, Los Angeles, California |
| Authorized Official Name and Position | Timothy C Park (PRESIDENT) |
| Authorized Official Contact | 3236005287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tim Park Dds Inc 936 Crenshaw Blvd # 100 Los Angeles CA 90019-1957 Ph: (323) 617-4180 | Tim Park Dds Inc 1127 Wilshire Blvd Ste 404 Los Angeles CA 90017-3905 Ph: (323) 600-5287 |
| NPI Number | 1629820089 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629820089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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