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Ethan Park Dmd Inc
Dental Clinic/Center in Temple City, California
NPI 1275117491

Ethan Park Dmd Inc is a Dental Clinic/Center based in Temple City, CA and is specialized in Dental. Ethan Park Dmd Inc practices in Temple City, CA. The NPI Number for Ethan Park Dmd Inc is 1275117491 and holds a License No. (California).

The current practice location address for Ethan Park Dmd Inc is 5728 Rosemead Blvd Suite 220, Temple City, CA and can be reached out via phone at 626-500-4340 and via fax at 626-544-5335.

Location: 5728 Rosemead Blvd Suite 220, Temple City, CA, 91780-1814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275117491
Provider Name
Ethan Park Dmd Inc
Credential
Provider Entity Type
Organization
Address
5728 Rosemead Blvd Suite 220, Temple City, CA, 91780-1814
Phone Number
626-500-4340
Fax Number
626-544-5335
Provider Enumeration Date
05/12/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100873 01 CA DENTIST
institution
Provider Business Practice Location Address Details
Address
5728 Rosemead Blvd Suite 220
City
Temple City
State
California
Zip
91780-1814
Phone Number
626-500-4340
Fax Number
626-544-5335
person
Provider Business Mailing Address Details
Address
5728 Rosemead Blvd Suite 220
City
Temple City
State
California
Zip
91780-1814
Phone Number
626-500-4340
Fax Number
626-544-5335
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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