Individual
DR. DAVID S PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
10390 COLOMA RD STE A, RANCHO CORDOVA, CA 95670-2152
(916) 368-0440
(916) 368-0440
Mailing address
29 VIA DEL CIELO, RANCHO PALOS VERDES, CA 90275-2511
(310) 403-1117
(310) 403-1117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53724
CA
Other
Enumeration date
05/23/2007
Last updated
11/27/2013
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