Hp Dental Group | |
5802 Pacific Blvd Huntington Park CA 90255-2618 | |
(310) 403-1117 | |
Not Available |
Full Name | Hp Dental Group |
---|---|
Speciality | Dentist - General Practice |
Location | 5802 Pacific Blvd, Huntington Park, California |
Authorized Official Name and Position | David S Park (OWNER) |
Authorized Official Contact | 3104031117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hp Dental Group 5802 Pacific Blvd Huntington Park CA 90255-2618 Ph: (310) 403-1117 | Hp Dental Group 5802 Pacific Blvd Huntington Park CA 90255-2618 Ph: (310) 403-1117 |
NPI Number | 1922455914 |
---|---|
Provider Enumeration Date | 05/19/2016 |
Last Update Date | 12/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922455914 | NPI | - | NPPES |
53724 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 53724 (California) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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