Dr. Sue Jean Park, DDS - Los Angeles, CA

Dr. Sue Jean Park, DDS

Dentist Anesthesiologist in Los Angeles, California

NPI 1659600682

Sue Jean Park is a Dentist Anesthesiologist based in Los Angeles, CA and is specialized in Dentist Anesthesiologist. Sue Jean Park practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Sue Jean Park is 1659600682 and holds a License No. 58385 (California).

The current practice location address for Sue Jean Park is 11693 San Vicente Blvd # 207, Los Angeles, CA and can be reached out via phone at 562-201-2221 and via fax at 310-477-7787.

Location: 11693 San Vicente Blvd # 207, Los Angeles, CA, 90049-5105

NPI Number

1659600682

Provider Name

Sue Jean Park

Credential

DDS

Provider Entity Type

Individual

Gender

Female

Address

11693 San Vicente Blvd # 207, Los Angeles, CA, 90049-5105

Phone Number

562-201-2221

Fax Number

310-477-7787

Provider Enumeration Date

12/22/2009

Last Update Date

03/09/2024

Address

11693 San Vicente Blvd # 207

City

Los Angeles

State

California

Zip

90049-5105

Phone Number

562-201-2221

Fax Number

310-477-7787

Address

11693 San Vicente Blvd # 207

City

Los Angeles

State

California

Zip

90049-5105

Phone Number

562-201-2221

Fax Number

310-477-7787

Type

Dental Providers

Classification

Dentist

Speciality

Dentist Anesthesiologist

Taxonomy

1223D0004X

License No.

58385 (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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