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Jin Park, DDS
NPI 1851690861 · on the registry since 2011 · sole proprietor
Practice
- Address
- 17526 Chatsworth St
Granada Hills, CA 91344 - Phone
- (818) 832-2828
- Fax
- (818) 832-2827
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-17
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