Individual provider · Type 1 NPI

Jeanette Genkyung Park, RDH

Dental Hygienist · Banning, CA

NPI number 1942557962 Active

Practice location

6350 W Ramsey St, Suite A
Banning, CA 92220-3062

Fax (951) 769-3606

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X23312 (CA)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1942557962

Jeanette Genkyung Park, RDH's National Provider Identifier is 1942557962, issued on Aug 8, 2012. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Banning, CA. The record was last updated on Aug 8, 2012.