Organization
MINDY PARK DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINDY PARK (DENTIST/OWNER)
(818) 576-9990
Entity
Organization
Contact information
Practice address
8345 RESEDA BLVD STE 101, NORTHRIDGE, CA 91324-4648
(818) 576-9990
Mailing address
8345 RESEDA BLVD STE 101, NORTHRIDGE, CA 91324-4648
(818) 576-9990
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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