Organization
DAWNELLE PARK DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNELLE PARK (OWNER/DENTIST)
(310) 303-3860
Entity
Organization
Contact information
Practice address
3655 LOMITA BLVD STE 304, TORRANCE, CA 90505-1925
(310) 303-3860
(310) 303-3868
Mailing address
3655 LOMITA BLVD STE 304, TORRANCE, CA 90505-1925
(310) 303-3860
(310) 303-3868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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