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Eun Jin Park
General Practice Dentistry in Manteca, California
NPI 1689044679

Eun Jin Park is a General Practice Dentistry based in Manteca, CA and is specialized in General Practice. Eun Jin Park practices in Manteca, CA. The NPI Number for Eun Jin Park is 1689044679 and holds a License No. 65154 (California).

The current practice location address for Eun Jin Park is 2288 Daniels St, Manteca, CA and can be reached out via phone at 209-456-5610.

Location: 2288 Daniels St, Manteca, CA, 95337-7961
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689044679
Provider Name
Eun Jin Park
Credential
Provider Entity Type
Individual
Gender
Female
Address
2288 Daniels St, Manteca, CA, 95337-7961
Phone Number
209-456-5610
Fax Number
Provider Enumeration Date
10/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2288 Daniels St
City
Manteca
State
California
Zip
95337-6706
Phone Number
209-456-5610
Fax Number
person
Provider Business Mailing Address Details
Address
2288 Daniels St
City
Manteca
State
California
Zip
95337-6706
Phone Number
209-456-5610
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
65154 (California)
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.
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