Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jc Park DDS Inc

Organization Dental Clinic/Center · NPI 1609636810

Jc Park DDS Inc is a Dental Clinic/Center in Rialto, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1505 S Riverside Ave Unit B
Rialto, CA 92376-7725
Phone: (909) 440-5345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1609636810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaechan Park — Ceo · (626) 454-0159
NPI enumeratedMarch 22, 2024
Last updated in NPPESMarch 22, 2024
Certification dateMarch 20, 2024
Mailing address15201 S Western Ave, Gardena, CA 90249-4314

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