| Timothy Chang Park Dds, Inc | |
|
14545 Leffingwell Rd # A&b Whittier CA 90604-2898 | |
| (562) 941-8600 | |
| Not Available |
| Full Name | Timothy Chang Park Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14545 Leffingwell Rd # A&b, Whittier, California |
| Authorized Official Name and Position | Timothy Changkeun Park (PRESIDENT) |
| Authorized Official Contact | 5629408600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Chang Park Dds, Inc 936 Crenshaw Blvd # 100 Los Angeles CA 90019-1957 Ph: () - | Timothy Chang Park Dds, Inc 14545 Leffingwell Rd # A&b Whittier CA 90604-2898 Ph: (562) 941-8600 |
| NPI Number | 1992475529 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992475529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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