Dawnelle Park Dds, Inc.

NPI #1093252470 in Torrance, California

Provider Information

NPI Number: 1093252470
Entity Type: Organization
Organization Name: Dawnelle Park Dds, Inc.
Primary Specialty: Dentist
Enumeration Date: Jan 24, 2017
Last Updated: Jan 24, 2017

Practice Location

Address: 3655 LOMITA BLVD STE 304
City: Torrance
State: California
ZIP Code: 90505-1925
Phone: (310) 303-3860

Authorized Official

Name: DAWNELLE PARK
Title: OWNER/DENTIST
Phone: (310) 303-3860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Dental Assistant	126800000X
Dentist	122300000X	Primary

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