Jim Park, D.D.S

NPI 1912116104 · on the registry since 2007 · sole proprietor

Practice

Address: 4710 La Sierra Ave
Riverside, CA 92505
Phone: (951) 324-8180
Organisation at this address: Mohammad Ali Zareh Dds Inc
Ho,Nguyen,Park Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

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