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Organization
OAK CLIFF FAMILY DENTAL PLLC
Active
Organization
OAK CLIFF FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANG PARK DDS (MANAGING MEMBER)
(214) 412-2595
Entity
Organization
Contact information
Practice address
1017 FORT WORTH ST, GRAND PRAIRIE, TX 75050-5402
(214) 412-2595
Mailing address
1017 FORTH WORTH ST, 100, GRAND PRAIRIE, TX 75050
(214) 412-2595
(214) 412-2613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23653
TX
Other
Enumeration date
02/01/2016
Last updated
03/17/2018
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