| M Park Dental Inc | |
|
23326 Hawthorne Blvd Ste 320 Torrance CA 90505-3760 | |
| (310) 901-2300 | |
| Not Available |
| Full Name | M Park Dental Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 23326 Hawthorne Blvd Ste 320, Torrance, California |
| Authorized Official Name and Position | Michael H Park (OWNER/PRESIDENT) |
| Authorized Official Contact | 3109012300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M Park Dental Inc 23326 Hawthorne Blvd Ste 320 Torrance CA 90505-3760 Ph: (310) 901-2300 | M Park Dental Inc 23326 Hawthorne Blvd Ste 320 Torrance CA 90505-3760 Ph: (310) 901-2300 |
| NPI Number | 1508572439 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 01/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508572439 | NPI | - | NPPES |
| 106120 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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