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1033767579
ANNIE YOUNGEUN PARK
LOS ANGELES, CA
NPI
1033767579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 104250)
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
ANNIE YOUNGEUN PARK DDS
5877 S VERMONT AVE
LOS ANGELES, CA 90044-3741
Phone number: 323-759-1523
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Mailing Address
ANNIE YOUNGEUN PARK DDS
96 CHANTILLY
IRVINE, CA 92620-2805
Phone number:
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