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1912116104
JIM SANG PARK
RIVERSIDE, CA
NPI
1912116104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 47545)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Dr. JIM SANG PARK D.D.S
4710 LA SIERRA AVE
RIVERSIDE, CA 92505-2726
Phone number: 951-324-8180
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Mailing Address
Dr. JIM SANG PARK D.D.S
11179 BRIDGEFIELD CT
RIVERSIDE, CA 92505-2777
Phone number:
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