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1275666315
JAECHAN PARK
GARDENA, CA
NPI
1275666315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 49972)
Enumeration Date
2007-03-14
Last Update Date
2023-03-13
Business Address
JAECHAN PARK D.D.S.
15201 S WESTERN AVE
GARDENA, CA 90249-4314
Phone number: 310-400-7705
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Mailing Address
JAECHAN PARK D.D.S.
614 INVERNESS CT
FULLERTON, CA 92835-2776
Phone number: 626-454-0159
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