Individual provider · Type 1 NPI

Eun Jin Park

General Practice Dentistry · Manteca, CA

NPI number 1689044679 Active

Practice location

2288 Daniels St
Manteca, CA 95337-6706

Call (209) 456-5610 Map

Mailing address

801 Atherton Dr Apt 158
Manteca, CA 95337-7961

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X65154 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1689044679

Eun Jin Park's National Provider Identifier is 1689044679, issued on Oct 2, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Manteca, CA. The record was last updated on Oct 2, 2015.