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1295102317
KEVIN PARK
LOS ANGELES, CA
NPI
1295102317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 103301)
Additional Taxonomies
122300000X Dentist
(Licence: TX 31403)
Enumeration Date
2015-08-24
Last Update Date
2021-06-29
Business Address
Dr. KEVIN PARK DDS
104 W 7TH ST
LOS ANGELES, CA 90014-1906
Phone number: 626-215-5810
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Mailing Address
Dr. KEVIN PARK DDS
104 W 7TH ST
LOS ANGELES, CA 90014-1906
Phone number: 626-215-5810
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