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1124084728
SOO TAE PARK
LANCASTER, CA
NPI
1124084728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 33967)
Enumeration Date
2006-04-22
Last Update Date
2013-10-09
Business Address
Mr. SOO TAE PARK DDS
44841 N 10TH ST W
LANCASTER, CA 93534
Phone number: 661-948-1655
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Mailing Address
Mr. SOO TAE PARK DDS
44841 N 10TH ST W
LANCASTER, CA 93534
Phone number: 661-948-1655
Copy
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