| Central Park Dental Group | |
|
10251 Torre Ave Suite 228 Cupertino CA 95014 | |
| (408) 243-3748 | |
| (408) 255-0892 |
| Full Name | Central Park Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10251 Torre Ave, Cupertino, California |
| Authorized Official Name and Position | Gary H Lum (OWNER) |
| Authorized Official Contact | 4082433748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Park Dental Group 10251 Torre Ave Suite 228 Cupertino CA 95014 Ph: (408) 243-3748 | Central Park Dental Group 10251 Torre Ave Suite 228 Cupertino CA 95014 Ph: (408) 243-3748 |
| NPI Number | 1790999688 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 07/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790999688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 51479 (California) | Primary |
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