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Jun Sang Park
Periodontist in Los Angeles, California
NPI 1770210254

Jun Sang Park is a Periodontist based in Pasadena, CA and is specialized in Periodontics. Jun Sang Park practices in Los Angeles, CA. The NPI Number for Jun Sang Park is 1770210254 and holds a License No. DDS107513 (California).

The current practice location address for Jun Sang Park is 4220 W 3Rd St, Los Angeles, CA and can be reached out via phone at 209-518-2095.

Location: 4220 W 3Rd St, Los Angeles, CA, 91107-3944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770210254
Provider Name
Jun Sang Park
Credential
Provider Entity Type
Individual
Gender
Male
Address
4220 W 3Rd St, Los Angeles, CA, 91107-3944
Phone Number
209-518-2095
Fax Number
Provider Enumeration Date
08/04/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DDS107513 01 CA DENTAL BOARD OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
4220 W 3Rd St
City
Los Angeles
State
California
Zip
90020-3450
Phone Number
209-518-2095
Fax Number
person
Provider Business Mailing Address Details
Address
4220 W 3Rd St
City
Los Angeles
State
California
Zip
90020-3450
Phone Number
209-518-2095
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DDS107513 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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