Yong Jun David Park in Garden Grove - Oral And Maxillofacial Surgery
Yong Jun David Park - NPI 1215114301
Yong Jun David Park is a Oral And Maxillofacial Surgery in Garden Grove, California. Yong Jun David Park practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Yong Jun David Park is 1215114301. The last update date is 2019-09-25.
Yong Jun David Park's current location address is 12777 Valleyview St. #121, Garden Grove, California. You can contact this provider via phone number 7148973543 and fax number 7148970505. The mailing address for Yong Jun David Park is 12777 Valleyview St. #121, Garden Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yong Jun David Park |
|---|---|
| Address | 12777 Valleyview St. #121, Garden Grove, California |
| Phone Number | 7148973543 |
| Fax Number | 7148970505 |
| Sole Proprietor | Y |
| Credentials | DDS MD |
NPI Number Detail
| NPI Number | 1215114301 |
|---|---|
| Provider Enumeration Date | 2008-01-30 |
| Last Updated Date | 2019-09-25 |
Provider Mailing Address Detail
| Address | 12777 Valleyview St. #121 |
|---|---|
| City | Garden Grove |
| State | California (CA) |
| Post Code | 928458318 |
| Phone Number | 7148973543 |
| Fax Number | 7148970505 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 52768 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Yong Jun David Park by the Centers for Medicare & Medicaid Services?
The Yong Jun David Park has been issued the NPI (National Provider Identifier) 1215114301 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Yong Jun David Park's facilities are geographically located?
The facilities of Yong Jun David Park are physically situated at the following location: 12777 Valleyview St. #121, Garden Grove, CA, 928458318.
What is Yong Jun David Park's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Yong Jun David Park is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215114301 to Yong Jun David Park?
The Centers for Medicare & Medicaid Services originally issued the 1215114301 to Yong Jun David Park on 2008-01-30.
When was the information pertaining to Yong Jun David Park most recently updated or revised?
The details related to Yong Jun David Park, including its address, specialty, and other relevant information, were last updated or revised on 2019-09-25.
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