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Sangho Park, DDS
NPI 1891846523 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1450 N Imperial Ave
Western Dental Service
El Centro, CA 92243 - Phone
- (760) 370-3950
- Fax
- (760) 370-0150
- Organisation at this address
- Western Dental Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
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
- 2007-07-08
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