| David Park Dds Inc | |
|
10390 Coloma Rd Ste A Rancho Cordova CA 95670-2152 | |
| (916) 368-0440 | |
| (916) 368-1111 |
| Full Name | David Park Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 10390 Coloma Rd Ste A, Rancho Cordova, California |
| Authorized Official Name and Position | David S Park (OWNER PRESIDENT) |
| Authorized Official Contact | 9163680440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Park Dds Inc 10390 Coloma Rd Ste A Rancho Cordova CA 95670-2152 Ph: (916) 368-0440 | David Park Dds Inc 10390 Coloma Rd Ste A Rancho Cordova CA 95670-2152 Ph: (916) 368-0440 |
| NPI Number | 1629230610 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629230610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 53077 (California) | Primary |
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