RENEE YOOSUN PARK

SAN DIEGO, CA
NPI1073526794
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  54005)
Additional Taxonomies122300000X Dentist
(Licence: NY  055807-1)
Enumeration Date2006-08-14
Last Update Date2014-04-22
Business Address
-- RENEE YOOSUN PARK DDS
10255 BLACK MOUNTAIN RD #P4
SAN DIEGO, CA 92126-3866
Phone number: 510-290-2260
Mailing Address
-- RENEE YOOSUN PARK DDS
10255 BLACK MOUNTAIN RD #P4
SAN DIEGO, CA 92126-3866
Phone number: 510-290-2260
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