Sang H. Park Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

#54608 Issued in CA

Legal business name

SANG H. PARK DENTAL CORP

Practice address

10055 Garden Grove Blvd
Garden Grove, CA 92844-1600

Phone

(714) 638-4042

Fax

(714) 638-2141

NPI assigned

Nov 4, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sanghoon Park, DDS

Title

Cfo

Phone

(714) 638-4042

Specialties & licenses 2

Addresses

Other names 1

• Boston Hub Dental Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1285935486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10055 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441600",
            "telephone_number": "714-638-4042",
            "fax_number": "714-638-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10055 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441600",
            "telephone_number": "714-638-4042",
            "fax_number": "714-638-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG H. PARK DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SANGHOON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-638-4042",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "#54608",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "#53583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Hub Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gurdarshan Sandhu
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• Anthony Gabriel Sandoval
• Laura Sandoval
• Walter Sandoval
• Sang Kwak Physical Therapy, Inc.
• Sang Lee & Deuk Oh DDS Inc
• Sang Lee & Deuk Oh, DDS, Inc
• Sanghoon Park, DDS, Inc.
• Megha Sanghu

• Dentist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.