Organization · Type 2 NPI
JC Park DDS Inc
Dental Clinic/Center · Rialto, CA
NPI number
1609636810
Active
Practice location
1505 S Riverside Ave Unit B
Rialto, CA 92376-7725
Mailing address
15201 S Western Ave
Gardena, CA 90249-4314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1609636810
JC Park DDS Inc's National Provider Identifier is 1609636810, issued on Mar 22, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Rialto, CA. The record was last updated on Mar 22, 2024.