| Daniel C. Park Dds Inc | |
|
1202 Beaumont Ave Beaumont CA 92223-1506 | |
| (951) 845-2661 | |
| (888) 462-1262 |
| Full Name | Daniel C. Park Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1202 Beaumont Ave, Beaumont, California |
| Authorized Official Name and Position | Daniel Park (PRESIDENT) |
| Authorized Official Contact | 9518452661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel C. Park Dds Inc 1202 Beaumont Ave Beaumont CA 92223-1506 Ph: (951) 845-2661 | Daniel C. Park Dds Inc 1202 Beaumont Ave Beaumont CA 92223-1506 Ph: (951) 845-2661 |
| NPI Number | 1073988341 |
|---|---|
| Provider Enumeration Date | 12/11/2015 |
| Last Update Date | 12/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073988341 | NPI | - | NPPES |
| 1598803116 | Other | CA | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47983 (California) | Primary |
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