James Keonuk Park in Fullerton - Pediatric Dentistry
James Keonuk Park - NPI 1780721852
James Keonuk Park is a Pediatric Dentistry in Fullerton, California. James Keonuk Park practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for James Keonuk Park is 1780721852. The last update date is 2008-07-07.
James Keonuk Park's current location address is 1950 Sunnycrest Dr, Fullerton, California. You can contact this provider via phone number 7148706120 and fax number 7148706869. The mailing address for James Keonuk Park is 1950 Sunnycrest Dr, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Keonuk Park |
|---|---|
| Address | 1950 Sunnycrest Dr, Fullerton, California |
| Phone Number | 7148706120 |
| Fax Number | 7148706869 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1780721852 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2008-07-07 |
Provider Mailing Address Detail
| Address | 1950 Sunnycrest Dr |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928353638 |
| Phone Number | 7148706120 |
| Fax Number | 7148706869 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 22DI02283700 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the James Keonuk Park's 1780721852?
The James Keonuk Park's NPI (National Provider Identifier) Number is 1780721852. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the James Keonuk Park located?
The James Keonuk Park is located at 1950 Sunnycrest Dr, Fullerton, CA 928353638.
Could you please provide the complete physical location address of James Keonuk Park?
The James Keonuk Park is physically situated at 1950 Sunnycrest Dr, in the city of Fullerton, state of CA, with the postal code 928353638.
On what date did the Centers for Medicare & Medicaid Services issue the 1780721852 to James Keonuk Park?
The James Keonuk Park received its 1780721852 assignment from the Centers for Medicare & Medicaid Services on 2007-01-30.
When was the information pertaining to James Keonuk Park most recently updated or revised?
The details related to James Keonuk Park, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-07.