Organization
DAVID SANGHO PARK DDS INC
Active
Other names
Winning Smile Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI DE ARMON (REGIONAL MANAGER)
(209) 263-1505
Entity
Organization
Contact information
Practice address
12732 SAN PABLO AVE, RICHMOND, CA 94805-1303
(510) 233-3100
(510) 233-3434
Mailing address
12732 SAN PABLO AVE, RICHMOND, CA 94805-1303
(510) 233-3100
(510) 233-3434
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CA
1223E0200X
Endodontics
—
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
CA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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