Organization
DAVID S PARK DDS INC
Active
Other names
El Centro Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S PARK DDS (OWNER)
(310) 403-1117
Entity
Organization
Contact information
Practice address
617 S 8TH ST, EL CENTRO, CA 92243-3218
(760) 312-5888
(760) 312-5918
Mailing address
617 S 8TH ST, EL CENTRO, CA 92243-3218
(760) 312-5888
(760) 312-5918
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
08/13/2014
Last updated
12/04/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us