Ethan Sb Park is a Temple City, California based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ethan Sb Park is 100873 for Dentistry in California. His current practice location is 5728 Rosemead Blvd Unit 220, Temple City. Patients can reach him at 626-500-4340.
Ethan Sb Park is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Ethan Sb Park speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Ethan Sb Park
Specialization:
Dentist
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
5728 Rosemead Blvd Unit 220, Temple City, California, 91780-1814
Phone:
626-500-4340
Fax:
626-544-5335
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 are as mentioned below.
NPI Number:
1144779828
NPI Enumeration Date:
23 Sep, 2016
NPI Last Update On:
12 Jul, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan Sb Park are as mentioned below.
License Number
Specialization
State
Status
100873
Dentistry
California
Primary
100873
General Practice Dentistry
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ethan Sb Park 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:
5728 Rosemead Blvd Unit 220, Temple City, California
Zip:
91780-1814
Phone Number:
626-500-4340
Fax Number:
626-544-5335
Patients can reach Ethan Sb Park at 5728 Rosemead Blvd Unit 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.