Gene H Park Dds, Inc | |
9240 Garden Grove Blvd Ste 1 Garden Grove CA 92844-1400 | |
(714) 530-1948 | |
(714) 530-1186 |
Full Name | Gene H Park Dds, Inc |
---|---|
Speciality | Clinic/center - Dental |
Location | 9240 Garden Grove Blvd Ste 1, Garden Grove, California |
Authorized Official Name and Position | Gene H Park (PRESIDENT) |
Authorized Official Contact | 7145301948 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gene H Park Dds, Inc 9240 Garden Grove Blvd Ste 1 Garden Grove CA 92844-1400 Ph: (714) 530-1948 | Gene H Park Dds, Inc 9240 Garden Grove Blvd Ste 1 Garden Grove CA 92844-1400 Ph: (714) 530-1948 |
NPI Number | 1093183410 |
---|---|
Provider Enumeration Date | 09/02/2015 |
Last Update Date | 11/15/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093183410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 49631 (California) | Primary |
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