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1205458767
GENE PARK
IRVINE, CA
NPI
1205458767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: CA DDS108692)
Enumeration Date
2020-05-07
Last Update Date
2023-10-11
Business Address
Dr. GENE PARK DDS, MS
16100 SAND CANYON AVE STE 320
IRVINE, CA 92618-3718
Phone number: 559-970-2177
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Mailing Address
Dr. GENE PARK DDS, MS
75 REMINGTON
IRVINE, CA 92620-5731
Phone number: 559-970-2177
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