Organization
D PARK DENTAL CORPORATION
Active
Other names
Norwalk Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S PARK DDS (OWNER)
(562) 584-4288
Entity
Organization
Contact information
Practice address
12065 ORANGE ST, NORWALK, CA 90650-4130
(562) 584-4288
(562) 584-4488
Mailing address
12065 ORANGE ST, NORWALK, CA 90650-4130
(562) 584-4288
(562) 584-4488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53724
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53724
—
CA
Enumeration date
12/11/2013
Last updated
04/20/2016
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