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Phillip S.h Park, DDS
General Practice Dentistry in Pasadena, California
NPI 1811917636

Phillip S.h Park is a General Practice Dentistry based in Pasadena, CA and is specialized in General Practice. Phillip S.h Park practices in Pasadena, CA and has the professional credentials of DDS. The NPI Number for Phillip S.h Park is 1811917636 and holds a License No. 42593 (California).

The current practice location address for Phillip S.h Park is 742 E Colorado Blvd, Pasadena, CA and can be reached out via phone at 626-405-0707 and via fax at 626-405-8876.

Location: 742 E Colorado Blvd, Pasadena, CA, 91101-2105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811917636
Provider Name
Phillip S.h Park
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
742 E Colorado Blvd, Pasadena, CA, 91101-2105
Phone Number
626-405-0707
Fax Number
626-405-8876
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B42593-01 01 CA STATE GOVERMENT HEALTHY F
G91415-01 05 CA
institution
Provider Business Practice Location Address Details
Address
742 E Colorado Blvd
City
Pasadena
State
California
Zip
91101-2105
Phone Number
626-405-0707
Fax Number
626-405-8876
person
Provider Business Mailing Address Details
Address
742 E Colorado Blvd
City
Pasadena
State
California
Zip
91101-2105
Phone Number
626-405-0707
Fax Number
626-405-8876
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
42593 (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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