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NPI 1659600682

IndividualActive

Sue Jean Park, DDS

NPI 1659600682 · Dental Anesthesiology · Pasadena, CA

Provider details

NPI number: 1659600682
Entity type: Individual
Primary specialty: Dental AnesthesiologyDental Providers
Credential: DDS
Sex: Female
Sole proprietor: Yes
License: 58385 (CA)

Practice location

530 S Lake Ave # 534

Pasadena, CA 91101-3515

Phone: (562) 201-2221

More CA providers

Mailing address

530 S Lake Ave # 534

Pasadena, CA 91101-3515

Registry dates

Enumerated: 2009-12-22
Last updated: 2025-11-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Sue Jean Park, DDS — NPI 1659600682, Pasadena, CA | NPI Central