Provider Demographics
NPI:1417060096
Name:H KAREN PARK, DDS, DENTAL CORP
Entity Type:Organization
Organization Name:H KAREN PARK, DDS, DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HYE EUN
Authorized Official - Middle Name:KAREN
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-730-5800
Mailing Address - Street 1:1021 S WOLFE RD
Mailing Address - Street 2:#225
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-8874
Mailing Address - Country:US
Mailing Address - Phone:408-730-5800
Mailing Address - Fax:408-730-4571
Practice Address - Street 1:1021 S WOLFE RD
Practice Address - Street 2:#225
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-8874
Practice Address - Country:US
Practice Address - Phone:408-730-5800
Practice Address - Fax:408-730-4571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47357122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty