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Organization
S PARK DDS INC
Active
Organization
S PARK DDS INC
Active
Other names
Grove Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SANGHO PARK DDS (DENTIST/PRESIDENT)
(916) 714-7771
Entity
Organization
Contact information
Practice address
9727 ELK GROVE FLORIN RD STE 155, ELK GROVE, CA 95624-2291
(916) 714-7771
(916) 714-7779
Mailing address
9727 ELK GROVE FLORIN ROAD SUITE 155, ELK GROVE, CA 95624
(916) 714-7771
(916) 714-7779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53724
CA
Other
Enumeration date
09/18/2014
Last updated
12/04/2020
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