Organization
DAVID PARK DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S PARK DDS (OWNER PRESIDENT)
(916) 368-0440
Entity
Organization
Contact information
Practice address
10390 COLOMA RD STE A, RANCHO CORDOVA, CA 95670-2152
(916) 368-0440
(916) 368-1111
Mailing address
10390 COLOMA RD STE A, RANCHO CORDOVA, CA 95670-2152
(916) 368-0440
(916) 368-1111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53077
CA
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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