Dr D S Park Dental INC

NPI #1760025589 in Wasco, California

Provider Information

NPI Number
1760025589
Entity Type
Organization
Organization Name
Dr D S Park Dental INC
Subpart
Yes (part of a larger organization)
Parent Organization
DR D S PARK DENTAL INC
Primary Specialty
Dentist
Enumeration Date
Oct 24, 2019
Last Updated
Dec 4, 2020

Practice Location

Address
1245 7TH ST
City
Wasco
ZIP Code
93280-1820
Phone
(661) 758-3021

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist

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