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Tae Een Park,d.d.s.,inc
Dental Clinic/Center in Oakdale, California
NPI 1063889558

Tae Een Park,d.d.s.,inc is a Dental Clinic/Center based in Oakdale, CA and is specialized in Dental. Tae Een Park,d.d.s.,inc practices in Oakdale, CA. The NPI Number for Tae Een Park,d.d.s.,inc is 1063889558 and holds a License No. 56889 (California).

The current practice location address for Tae Een Park,d.d.s.,inc is 190 S Oak Ave Ste 6, Oakdale, CA and can be reached out via phone at 209-847-2800 and via fax at 209-847-2929.

Location: 190 S Oak Ave Ste 6, Oakdale, CA, 95361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063889558
Provider Name
Tae Een Park,d.d.s.,inc
Credential
Provider Entity Type
Organization
Address
190 S Oak Ave Ste 6, Oakdale, CA, 95361
Phone Number
209-847-2800
Fax Number
209-847-2929
Provider Enumeration Date
08/31/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
190 S Oak Ave Ste 6
City
Oakdale
State
California
Zip
95361-3528
Phone Number
209-847-2800
Fax Number
209-847-2929
person
Provider Business Mailing Address Details
Address
190 S Oak Ave Ste 6
City
Oakdale
State
California
Zip
95361-3528
Phone Number
209-847-2800
Fax Number
209-847-2929
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
56889 (California)
Definition
Definition to come...
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