TINA KEUN NAN PARK

GLENDALE, CA
NPI1407200694
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA  63253)
Enumeration Date2016-04-14
Last Update Date2016-04-14
Business Address
-- TINA KEUN NAN PARK D.D.S., M.S.
962 CALLE AMABLE
GLENDALE, CA 91208-3062
Phone number: 323-369-4054
Mailing Address
-- TINA KEUN NAN PARK D.D.S., M.S.
962 CALLE AMABLE
GLENDALE, CA 91208-3062
Phone number: 323-369-4054
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