| Highland Dental Group | |
|
3901 Madison Ave Ste 5 North Highlands CA 95660-5095 | |
| (916) 999-0183 | |
| (916) 999-0908 |
| Full Name | Highland Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 3901 Madison Ave Ste 5, North Highlands, California |
| Authorized Official Name and Position | David Sangho Park (DENTIST/PRESIDENT) |
| Authorized Official Contact | 9169990183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Dental Group 3901 Madison Ave Ste 5 North Highlands CA 95660-5095 Ph: (916) 999-0183 | Highland Dental Group 3901 Madison Ave Ste 5 North Highlands CA 95660-5095 Ph: (916) 999-0183 |
| NPI Number | 1326437666 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 01/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326437666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 53724 (California) | Primary |
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