| D Park Sds Pc | |
|
1811 S Rainbow Blvd Ste 101 Las Vegas NV 89146-0855 | |
| (702) 805-4200 | |
| (702) 805-5300 |
| Full Name | D Park Sds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1811 S Rainbow Blvd Ste 101, Las Vegas, Nevada |
| Authorized Official Name and Position | David Sangho Park (CEO/DENTIST) |
| Authorized Official Contact | 3104031117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D Park Sds Pc 6375 S Pecos Rd Ste 119 Las Vegas NV 89120-3269 Ph: (888) 585-3368 | D Park Sds Pc 1811 S Rainbow Blvd Ste 101 Las Vegas NV 89146-0855 Ph: (702) 805-4200 |
| NPI Number | 1467188847 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467188847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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