| Dr Park Dental Corporation | |
|
38745 Tierra Subida Ave Ste 150 Palmdale CA 93551-4567 | |
| (661) 272-9091 | |
| Not Available |
| Full Name | Dr Park Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 38745 Tierra Subida Ave Ste 150, Palmdale, California |
| Authorized Official Name and Position | David Park (CEO) |
| Authorized Official Contact | 3104031117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Park Dental Corporation 1669 W Avenue J Ste 305 Lancaster CA 93534-2870 Ph: (661) 802-7544 | Dr Park Dental Corporation 38745 Tierra Subida Ave Ste 150 Palmdale CA 93551-4567 Ph: (661) 272-9091 |
| NPI Number | 1790263465 |
|---|---|
| Provider Enumeration Date | 08/03/2018 |
| Last Update Date | 08/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790263465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 53724 (California) | Primary |
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