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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JUN SUP PARK, DDS

Active

DR. JUN SUP PARK, DDS is a Dentist healthcare provider located in DOWNEY, California. NPI 1669907663 is currently active in the NPPES registry. Verify at CMS.

Dentist · DOWNEY, CA

Registration Details

NPI Number
1669907663
Provider Type
Individual
Gender
Male
NPI Issued
Apr 27, 2017 (9.2872997218173 yrs)
Last Updated
Aug 19, 2022
Licenses
2901022211 (MI)
107810 (CA)

Practice Information

Address
8612 FIRESTONE BLVD
DOWNEY, CA, 902415243
Browse CA providers · Browse ZIP 90241
Phone
5623821528
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in DOWNEY, CA

Name Credential NPI
DR. DAVID ARTHUR WILCOX DDS 1538128426
DR. ANTHONY BORDAS DDS 1225046519
DR. ELAINE Y LAU DDS 1124131487
DR. SAMIA ALI DDS 1508958794
ROANNA SIANGIO DMD 1134217052
MR. ALI MOTAMED RIAZI DDS 1821187592
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.