S Park DDS INC
NPI #1104422245 in Sacramento, California
Provider Information
- NPI Number
- 1104422245
- Entity Type
- Organization
- Organization Name
- S Park DDS INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- S PARK DDS INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 4, 2020
- Last Updated
- Dec 4, 2020
Practice Location
- Address
- 6163 MACK RD
- City
- Sacramento
- State
- California
- ZIP Code
- 95823-4654
- Phone
- (888) 585-3368
Authorized Official
- Name
- DAVID S PARK
- Title
- DENTIST/OWNER
- Phone
- (310) 403-1117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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