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Jonggoo Park, DDS
NPI 1003394313 · on the registry since 2018
Practice
- Address
- 18444 Brookhurst St
Fountain Valley, CA 92708 - Phone
- (714) 962-2471
- Fax
- (714) 968-6411
- Organisation at this address
- Jbs Pacific, Inc
Homecare Samaritans IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California