WAYNE M PARK

GARDENA, CA
NPI1568549798
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  20247)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
Dr. WAYNE M PARK D.D.S.
15231 S WESTERN AVE
GARDENA, CA 90249-4314
Phone number: 310-327-4596
Mailing Address
Dr. WAYNE M PARK D.D.S.
15231 S WESTERN AVE
GARDENA, CA 90249-4314
Phone number: 310-327-4596
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