Eunji Park, DDS
Dentist · Manteca, CA
Practice location
2288 Daniels StManteca, CA 95337
- Phone
- (808) 393-5737
NPI record
- NPI
- 1962750166
- Entity type
- Individual (Type 1)
- Enumeration date
- August 17, 2012
- Last updated
- September 4, 2012
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
61743 | CA |
Mailing address
2288 Daniels StManteca, CA 95337-6706
About Dr. Park
Eunji Park, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2288 Daniels St, Manteca, CA 95337. The NPI number 1962750166 was assigned on August 17, 2012 and the record was last updated on September 4, 2012.
Dr. Park lists a license in the registry: #61743 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Eunji Park, DDS?
The NPI number is 1962750166.
What is the phone number of Dr. Park?
The phone number listed for the practice location is (808) 393-5737.
Where is Dr. Park located?
2288 Daniels St, Manteca, CA 95337.
What is the taxonomy code for Dr. Park?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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