DR. D.M.D. Sungjin James Park, NPI 1134278948
Dentist Anesthesiologist in Fullerton, CA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1134278948
NPI Entity Type Individual
Provider Name DR. D.M.D. Sungjin James Park
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1038 E Bastanchury Rd, #191, Fullerton, CA, US
Provider Mailing Address 1038 E Bastanchury Rd, #191, Fullerton, CA, US, 928352786
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

1223D0004X

Taxonomy Name Dentist Anesthesiologist
Classification

Dentist

Group

Dental Providers

License No. 41030
License State CA
Description A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

Business Address

DR. D.M.D. Sungjin James Park
1038 E Bastanchury Rd
#191

Fullerton, CA, US

Phone: 714-309-9390
Fax: 714-917-2077

Mailing Address

DR. D.M.D. Sungjin James Park
1038 E Bastanchury Rd
#191
Fullerton, CA, US
ZIP 928352786
Phone: 714-309-9390
Fax: 714-917-2077

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