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

Ethan Sb Park

Individual provider General Practice Dentistry · NPI 1144779828

Ethan Sb Park is a General Practice Dentistry in Temple City, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

5728 Rosemead Blvd Unit 220
Temple City, CA 91780-1814
Phone: (626) 500-4340
Fax: (626) 544-5335
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 100873 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 100873 (CA)

Record details

NPI number1144779828
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 23, 2016
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address5728 Rosemead Blvd Unit 220, Temple City, CA 91780-1814

Other providers in Temple City