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1780192005
GH PARK DDS A DENTAL CORPORATION
FULLERTON, CA
NPI
1780192005
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Entity Type
Organization
Authorized Contact
GENE PARK
President
310-780-1296
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: CA 49631)
Enumeration Date
2018-01-22
Last Update Date
2018-01-22
Business Address
GH PARK DDS A DENTAL CORPORATION
1031 ROSECRANS AVE STE 104
FULLERTON, CA 92833-1946
Phone number: 714-530-1948
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Mailing Address
GH PARK DDS A DENTAL CORPORATION
1031 ROSECRANS AVE STE 104
FULLERTON, CA 92833-1946
Phone number: 714-530-1948
Copy
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