Salida Dental Group

NPI #1407095599 in Salida, California

Provider Information

NPI Number: 1407095599
Entity Type: Organization
Organization Name: Salida Dental Group
Primary Specialty: Dentist
Enumeration Date: Feb 12, 2009
Last Updated: Feb 12, 2009

Practice Location

Address: 5708 PIRRONE RD
City: Salida
State: California
ZIP Code: 95368-9313
Phone: (209) 543-3888

Authorized Official

Name: DR. DAVID S PARK, DDS
Title: DENTIST
Phone: (310) 403-1117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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