Organization
D S PARK DDS MPH INC
Active
Other names
Merced Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI DE ARMON (REGIONAL MANAGER)
(209) 325-4395
Entity
Organization
Contact information
Practice address
1120 OLIVEWOOD DR, MERCED, CA 95348
(209) 263-1505
Mailing address
1120 OLIVEWOOD DR, MERCED, CA 95348-1210
(209) 325-4395
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942410501
—
CA
Enumeration date
06/18/2017
Last updated
10/16/2018
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