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

Mrs. Jeanette Genkyung Park, RDH

Individual provider Dental Hygienist · NPI 1942557962

Mrs. Jeanette Genkyung Park, RDH is a Dental Hygienist in Banning, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
RDH — Registered Dental Hygienist
A licensed hygienist who cleans teeth and screens for oral disease.

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Practice location Address checks out

6350 W Ramsey St Ste A
Banning, CA 92220-3062
Phone: (951) 769-0466
Fax: (951) 769-3606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 23312 (CA)

Record details

NPI number1942557962
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDH
Sole proprietorNo
NPI enumeratedAugust 8, 2012
Last updated in NPPESAugust 8, 2012

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