Organization
CMP DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES C. PARK D.D.S. (PRESIDENT)
(972) 423-6804
Entity
Organization
Contact information
Practice address
2639 WALNUT HILL LN STE 225, DALLAS, TX 75229-5699
(972) 423-6804
Mailing address
2639 WALNUT HILL LN., STE. 225, DALLAS, TX 75229-5640
(972) 423-6804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28207
TX
Other
Enumeration date
07/13/2017
Last updated
07/21/2022
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