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Organization
PARK DENTAL, INC.
Active
Organization
PARK DENTAL, INC.
Active
Other names
Palm Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PARK DDS (DIRECTOR)
(209) 667-2254
Entity
Organization
Contact information
Practice address
241 N PALM ST, TURLOCK, CA 95380-4028
(209) 667-2254
(209) 667-2274
Mailing address
241 N PALM ST, TURLOCK, CA 95380-4028
(209) 667-2254
(209) 667-2274
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53724
CA
1223E0200X
Endodontics
53191
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
57684
CA
Other
Enumeration date
02/25/2015
Last updated
02/26/2015
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