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Organization

DR D S PARK DENTAL INC

Active
Parent organization
DR D S PARK DENTAL INC
Other names
Smile Dental of Delano
Organization subpart
Yes

Provider details

NPI number
Legal business name
DR D S PARK DENTAL INC
Authorized official
DAVID S PARK DDS (OWNER)
(310) 403-1117
Entity
Organization

Contact information

Practice address
1406 JEFFERSON ST, DELANO, CA 93215-2222
(661) 725-9430
(661) 725-7221
Mailing address
1406 JEFFERSON ST, DELANO, CA 93215-2222
(661) 725-9430
(661) 725-7221

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
53724
CA
Enumeration date
10/23/2019
Last updated
01/06/2020
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