Clinton Park Dental Corporation
NPI #1083848568 in Carlsbad, California
Provider Information
- NPI Number
- 1083848568
- Entity Type
- Organization
- Organization Name
- Clinton Park Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 12, 2009
- Last Updated
- Aug 19, 2013
Practice Location
- Address
- 2635 GATEWAY RD
- Address 2
- SUITE 101
- City
- Carlsbad
- State
- California
- ZIP Code
- 92009-1753
- Phone
- (760) 431-8112
Authorized Official
- Name
- DR. CLINTON H PARK, DDS
- Title
- OWNER DOCTOR
- Phone
- (760) 431-8112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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