Ethan Park Dmd Inc is a Dental Clinic in Temple City, California. It is located at 5728 Rosemead Blvd Suite 220, Temple City, CA and its contact number is 626-500-4340. The authorized person for Ethan Park Dmd Inc is Dr. Ethan Sb Park
who is Owner Dentist of the clinic and their contact number is 213-220-4856. Ethan Park Dmd Inc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Ethan Park Dmd Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Ethan Park Dmd Inc
Specialization:
General Practice Dentistry
Clinic Address:
5728 Rosemead Blvd Suite 220, Temple City, California, 91780-1814
Phone:
626-500-4340
Fax:
626-544-5335
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Ethan Sb Park
Position:
Owner Dentist
Contact Number:
213-220-4856
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ethan Park Dmd Inc clinic are as mentioned below.
NPI Number:
1275117491
NPI Enumeration Date:
12 May, 2021
NPI Last Update On:
13 Jul, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan Park Dmd Inc are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Dental
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100873
Other
California
Dentist
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ethan Park Dmd Inc 5728 Rosemead Blvd Unit 220, Temple City, California
Zip:
91780-1814
Phone Number:
626-544-5335
Fax Number:
626-544-5335
Patients can reach Ethan Park Dmd Inc at 5728 Rosemead Blvd Suite 220, Temple City, California or can call to book an appointment on 626-500-4340. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.