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1669907663
JUN SUP PARK
DOWNEY, CA
NPI
1669907663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 107810)
Additional Taxonomies
122300000X Dentist
(Licence: MI 2901022211)
Enumeration Date
2017-04-27
Last Update Date
2022-08-19
Business Address
Dr. JUN SUP PARK DDS
8612 FIRESTONE BLVD
DOWNEY, CA 90241-5243
Phone number: 562-382-1528
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Mailing Address
Dr. JUN SUP PARK DDS
8612 FIRESTONE BLVD
DOWNEY, CA 90241-5243
Phone number: 562-382-1528
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