| High Park Dental Group | |
|
25982 Pala Suite 210 Mission Viejo CA 92691-6719 | |
| (949) 458-2088 | |
| (949) 458-2888 |
| Full Name | High Park Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25982 Pala, Mission Viejo, California |
| Authorized Official Name and Position | Vanessa Gabriela Cruz (PRESIDENT) |
| Authorized Official Contact | 9494582088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Park Dental Group 25982 Pala Suite 210 Mission Viejo CA 92691-6719 Ph: (949) 458-2088 | High Park Dental Group 25982 Pala Suite 210 Mission Viejo CA 92691-6719 Ph: (949) 458-2088 |
| NPI Number | 1386750990 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386750990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44583 (California) | Primary |
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