Mark Jungwon Pak in Glendale - Periodontics
Mark Jungwon Pak - NPI 1336365790
Mark Jungwon Pak is a Periodontics in Glendale, California. Mark Jungwon Pak practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mark Jungwon Pak is 1336365790. The last update date is 2008-07-21.
Mark Jungwon Pak's current location address is 1809 Verdugo Blvd Ste 330, Glendale, California. You can contact this provider via phone number 8189520061 and fax number 8189520166. The mailing address for Mark Jungwon Pak is 1809 Verdugo Blvd Ste 330, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Jungwon Pak |
|---|---|
| Address | 1809 Verdugo Blvd Ste 330, Glendale, California |
| Phone Number | 8189520061 |
| Fax Number | 8189520166 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1336365790 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2008-07-21 |
Provider Mailing Address Detail
| Address | 1809 Verdugo Blvd Ste 330 |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912081402 |
| Phone Number | 8189520061 |
| Fax Number | 8189520166 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 49966 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the Mark Jungwon Pak's 1336365790?
The Mark Jungwon Pak's NPI (National Provider Identifier) Number is 1336365790. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mark Jungwon Pak is geographically located?
The Mark Jungwon Pak is physically situated at the following location: 1809 Verdugo Blvd Ste 330, Glendale, CA, 912081402.
What is Mark Jungwon Pak's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Jungwon Pak is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336365790 to Mark Jungwon Pak?
The Centers for Medicare & Medicaid Services originally issued the 1336365790 to Mark Jungwon Pak on 2007-04-17.
When was the information regarding Mark Jungwon Pak, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Jungwon Pak, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-21.