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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
13 July, 2026.