Healthcare Provider Details

I. General information

NPI: 1841104353
Provider Name (Legal Business Name): PAIK DENTAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6891 LA PALMA AVE
BUENA PARK CA
90620-2429
US

IV. Provider business mailing address

7801 BARBI LN
LA PALMA CA
90623-1670
US

V. Phone/Fax

Practice location:
  • Phone: 714-220-1777
  • Fax:
Mailing address:
  • Phone: 323-627-8073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: EUN J PAIK
Title or Position: PRESIDENT
Credential: DDS
Phone: 323-627-8073