Organization
D.S PARK DDS, INC
Active
Other names
Madison Springs Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PARK DDS (OWNER)
(951) 698-3585
Entity
Organization
Contact information
Practice address
25285 MADISON AVE, 107, MURRIETA, CA 92562-8981
(951) 698-3585
(951) 698-3581
Mailing address
25285 MADISON AVE, 107, MURRIETA, CA 92562-8981
(951) 698-3585
(951) 698-3581
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53724
CA
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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