Bojun Park DDS INC
Dentist in Santa Ana, CA. Organization (NPI-2).
NPI number1669908299
StatusActive
Last updated in NPPESMay 2, 2017
Details
- NPI
- 1669908299
- Entity type
- Organization (NPI-2)
- Legal business name
- Bojun Park DDS INC
- Organization subpart
- No
- Enumeration date
- May 2, 2017
- Last updated
- May 2, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 56290 | CA | Yes |
Practice location
1112 S Bristol StSanta Ana, CA 92704-3420
Phone 714-668-9884 · Fax 714-668-0381
Mailing address
1112 S Bristol StSanta Ana, CA 92704-3420
Phone 714-668-9884 · Fax 714-668-0381
Authorized official
Bojun Park
DDS, Ceo
7146689884
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