| Jaein Park DDS Inc | |
|
2048 Orange Tree Ln Ste 100 Redlands CA 92374-4566 | |
| (909) 953-5140 | |
| Not Available |
| Full Name | Jaein Park DDS Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2048 Orange Tree Ln Ste 100, Redlands, California |
| Authorized Official Name and Position | Jaein Park (C.E.O.) |
| Authorized Official Contact | 9095935140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaein Park DDS Inc 25519 Carrol Ct Loma Linda CA 92354-3700 | Jaein Park DDS Inc 2048 Orange Tree Ln Ste 100 Redlands CA 92374-4566 Ph: (909) 953-5140 |
| NPI Number | 1285308841 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285308841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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