CHANGSU PARK

REPRESA, CA
NPI1548441033
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  35532)
Enumeration Date2007-11-26
Last Update Date2016-03-07
Business Address
-- CHANGSU PARK D. D. S.
100 PRISON RD
REPRESA, CA 95671-0002
Phone number: 916-985-8610
Mailing Address
-- CHANGSU PARK D. D. S.
PO BOX 290002
REPRESA, CA 95671-0002
Phone number: 916-985-8610