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General NPI Number Information
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NPI Number | 1417060096
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Entity Type | Organization
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Legal Business Name | H KAREN PARK, DDS, DENTAL CORP
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1021 S WOLFE RD #225
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City | SUNNYVALE
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State | CA
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Zip | 94086-8874
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Country | US
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Telephone | 408-730-5800
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Fax | 408-730-4571
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Provider Business Mailing Address
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Address Line | 1021 S WOLFE RD #225
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City | SUNNYVALE
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State | CA
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Zip | 94086-8874
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Country | US
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Telephone | 408-730-5800
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Fax | 408-730-4571
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HYE EUN KAREN PARK
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Credential | DDS
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Telephone | 408-730-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 47357
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License Number State | CA
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