| Changsu Park, D D S | |
|
100 Prison Rd, Represa, CA 95671-0002 | |
| (916) 985-8610 | |
| Not Available |
| Full Name | Changsu Park |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 100 Prison Rd, Represa, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548441033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 35532 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Changsu Park, D D S Po Box 290002, Represa, CA 95671-0002 Ph: (916) 985-8610 | Changsu Park, D D S 100 Prison Rd, Represa, CA 95671-0002 Ph: (916) 985-8610 |
Dr. John Maciel Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 Phone: 916-985-8610 | |
Dr. Harry Moran Singh Dhesi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 Phone: 916-985-8610 | |
Dr. Jocko Sarabia, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 191-698-5861 Fax: 916-294-3194 | |
Dr. Gregory Carl Tinloy, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd., Represa, CA 95671 Phone: 916-985-8610 | |
Dr. Carl M Griffith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 Prison Rd, Represa, CA 95671 Phone: 916-985-2561 Fax: 916-608-3105 | |
Dennis Rulon Fairbourn, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 Phone: 910-985-8610 Fax: 916-294-3066 |