Pak, Mark Jungwon

Pak, Mark Jungwon is an individual health care provider with primary practice located at 4148 Ocean View Blvd , Montrose CA 91020-1552. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Pak, Mark Jungwon can be contacted via phone (818) 369-7790.

Contact Information

Primary practice address
4148 Ocean View Blvd Montrose CA 91020-1552
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 49966 California
Dental Providers / Periodontics 1223P0300X 49966 California

Profile Details

NPI number 1336365790
LBN Legal business name Pak, Mark Jungwon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Apr 16th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers