Individual provider · Type 1 NPI

Ethan SB Park

Dentist · Temple City, CA

NPI number 1144779828 Active

Practice location

5728 Rosemead Blvd Unit 220
Temple City, CA 91780-1814

Fax (626) 544-5335

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X100873 (CA)
Dentist Primary 122300000X100873 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1144779828

Ethan SB Park's National Provider Identifier is 1144779828, issued on Sep 23, 2016. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Temple City, CA. The record was last updated on Jul 12, 2023.