Yong Tae Park

NPI 1952969354 · on the registry since 2019

Practice

Address: 9184 E Stockton Blvd Ste A
Elk Grove, CA 95624
Phone: (201) 835-6802
Organisation at this address: S.Y.Y Jang Dds Corp
S. Jang Dds Incorporated
Community Dental Services
Tavallaei, D.M.D., Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 1223E0200X
1223E0200X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-04-16

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