D Park Mph DDS Dental Corporation
NPI #1124572284 in Stockton, California
Provider Information
- NPI Number
- 1124572284
- Entity Type
- Organization
- Organization Name
- D Park Mph DDS Dental Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- D PARK MPH DDS DENTAL CORPORATION
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 6, 2016
- Last Updated
- Jan 11, 2022
Practice Location
- Address
- 7743 WEST LN STE C5
- City
- Stockton
- State
- California
- ZIP Code
- 95210-3381
- Phone
- (209) 474-1101
Authorized Official
- Name
- MR. DAVID SANGHO PARK, DDS, MPH
- Title
- CEO, CFO
- Phone
- (310) 403-1117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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