Organization
DAVID PARK DENTAL CORP.
Active
Other names
Highland Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SANGHO PARK DDS (DENTIST/PRESIDENT)
(916) 999-0183
Entity
Organization
Contact information
Practice address
3901 MADISON AVE STE 5, NORTH HIGHLANDS, CA 95660-5095
(916) 999-0183
(916) 999-0908
Mailing address
3901 MADISON AVE STE 5, NORTH HIGHLANDS, CA 95660-5095
(916) 999-0183
(916) 999-0908
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53724
CA
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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