# D PARK SDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smile Dental of Nevada
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467188847
- **Authorized official:** MR. DAVID SANGHO PARK DDS,MPH (CEO/DENTIST)
- **Authorized official phone:** (310) 403-1117

## Contact information

- **Practice address:** 1811 S RAINBOW BLVD STE 101, LAS VEGAS, NV 89146-0855
- **Practice address phone:** (702) 805-4200
- **Practice address fax:** (702) 805-5300
- **Mailing address:** 6375 S PECOS RD STE 119, LAS VEGAS, NV 89120-3269
- **Mailing address phone:** (888) 585-3368
- **Mailing address fax:** (661) 471-2121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2022
- **Last updated:** 07/27/2022