| Mr Soo Tae Park, DDS | |
|
44841 N 10th St W, Lancaster, CA 93534 | |
| (661) 948-1655 | |
| (661) 940-9636 |
| Full Name | Mr Soo Tae Park |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 44841 N 10th St W, Lancaster, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124084728 | NPI | - | NPPES |
| G9225701 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 33967 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Soo Tae Park, DDS 44841 N 10th St W, Lancaster, CA 93534 Ph: (661) 948-1655 | Mr Soo Tae Park, DDS 44841 N 10th St W, Lancaster, CA 93534 Ph: (661) 948-1655 |
Dr. Luiza Portnoff, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 44439 17th St W, Lancaster, CA 93534 Phone: 661-945-4040 | |
Mr. Teddy T Usude, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 830 W Avenue L, 129, Lancaster, CA 93534 Phone: 661-280-0012 Fax: 661-951-1961 | |
Dr. Michael David Goodley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1351 W Avenue J, Lancaster, CA 93534 Phone: 661-942-1474 Fax: 661-723-0027 | |
Dr. Farah Faraj-bakhaya, Dentist Medicare: Not Enrolled in Medicare Practice Location: 44407 Challenger Way, Lancaster, CA 93535 Phone: 661-341-3100 Fax: 661-942-2305 | |
Kamil Nabil Azer Mankarious, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 42447 Waterford Way, Lancaster, CA 93536 Phone: 661-220-0659 | |
Ms. Honping Wong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 44439 17th St. W, Ste 103, Lancaster, CA 93534 Phone: 661-949-0390 Fax: 661-948-7040 | |
Dr. Mona T Hadaya, D. D. S. Dentist Medicare: Medicare Enrolled Practice Location: 44820 10th St W, Suite 101, Lancaster, CA 93534 Phone: 661-942-1181 |