Ethan Sang Bae Park
ActiveCalifornia license 100873
License
- Licensed by
- Dental Board of California
- License number
- 100873
- Status
- Active (Current)
- First issued
- September 15, 2016
- Expires
- November 30, 2026
- License holder
- Ethan Sang Bae Park
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
3860 2nd Ave
La Crescenta, CA 91214-2315
La Crescenta, CA 91214-2315
Los Angeles County