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1073526794
RENEE YOOSUN PARK
SAN DIEGO, CA
NPI
1073526794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 54005)
Additional Taxonomies
122300000X Dentist
(Licence: NY 055807-1)
Enumeration Date
2006-08-14
Last Update Date
2014-04-22
Business Address
-- RENEE YOOSUN PARK DDS
10255 BLACK MOUNTAIN RD #P4
SAN DIEGO, CA 92126-3866
Phone number: 510-290-2260
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Mailing Address
-- RENEE YOOSUN PARK DDS
10255 BLACK MOUNTAIN RD #P4
SAN DIEGO, CA 92126-3866
Phone number: 510-290-2260
Copy
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