| Ethan Sb Park, | |
|
5728 Rosemead Blvd Unit 220, Temple City, CA 91780-1814 | |
| (626) 500-4340 | |
| (626) 544-5335 |
| Full Name | Ethan Sb Park |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 5728 Rosemead Blvd Unit 220, Temple City, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144779828 | NPI | - | NPPES |
| 100873 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 100873 (California) | Secondary |
| 122300000X | Dentist | 100873 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Sb Park, 5728 Rosemead Blvd Unit 220, Temple City, CA 91780-1814 Ph: (626) 500-4340 | Ethan Sb Park, 5728 Rosemead Blvd Unit 220, Temple City, CA 91780-1814 Ph: (626) 500-4340 |
Kyle Low, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9929 Las Tunas Dr, Temple City, CA 91780 Phone: 626-285-3161 | |
Lillian Lin Li, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9802 Las Tunas Dr, Temple City, CA 91780 Phone: 626-287-8333 Fax: 626-285-8328 | |
Dr. Chien-ming Huang, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9473 Las Tunas Dr, Temple City, CA 91780 Phone: 626-286-5866 Fax: 626-286-6233 | |
Dr. Sunjay Lad, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5813 Temple City Blvd, Temple City, CA 91780 Phone: 626-287-4094 | |
Dr. Terrence Lee Fong, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9909 Las Tunas Dr, Temple City, CA 91780 Phone: 626-286-7151 Fax: 626-285-2023 | |
Dr. Garrett Scott Fong, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9909 Las Tunas Dr, Temple City, CA 91780 Phone: 626-286-7151 Fax: 626-285-2023 |