Individual provider · Type 1 NPI

Jim Sang Park, D.D.S

Dentist · Riverside, CA

NPI number 1912116104 Active

Practice location

4710 La Sierra Ave
Riverside, CA 92505-2726

Mailing address

11179 Bridgefield Ct
Riverside, CA 92505-2777

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X47545 (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 1912116104

Jim Sang Park, D.D.S's National Provider Identifier is 1912116104, issued on May 22, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Riverside, CA. The record was last updated on Jul 8, 2007.