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Dr. Sungjin James Park, DMD
Dentist Anesthesiologist in Fullerton, California
NPI 1134278948

Sungjin James Park is a Dentist Anesthesiologist based in Fullerton, CA and is specialized in Dentist Anesthesiologist. Sungjin James Park practices in Fullerton, CA and has the professional credentials of DMD. The NPI Number for Sungjin James Park is 1134278948 and holds a License No. 41030 (California).

The current practice location address for Sungjin James Park is 1038 E Bastanchury Rd, Fullerton, CA and can be reached out via phone at 714-309-9390 and via fax at 714-917-2077.

Location: 1038 E Bastanchury Rd, Fullerton, CA, 92835-2786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134278948
Provider Name
Sungjin James Park
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1038 E Bastanchury Rd, Fullerton, CA, 92835-2786
Phone Number
714-309-9390
Fax Number
714-917-2077
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1038 E Bastanchury Rd
City
Fullerton
State
California
Zip
92835-2786
Phone Number
714-309-9390
Fax Number
714-917-2077
person
Provider Business Mailing Address Details
Address
1038 E Bastanchury Rd
City
Fullerton
State
California
Zip
92835-2786
Phone Number
714-309-9390
Fax Number
714-917-2077
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
41030 (California)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
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