| Park Dental Group | |
|
44841 N 10th St W Lancaster CA 93534 | |
| (661) 948-1655 | |
| (661) 940-9636 |
| Full Name | Park Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 44841 N 10th St W, Lancaster, California |
| Authorized Official Name and Position | Soo Tae Park (OWNER PRESIDENT) |
| Authorized Official Contact | 6619481655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Dental Group 44841 N 10th St W Lancaster CA 93534 Ph: (661) 948-1655 | Park Dental Group 44841 N 10th St W Lancaster CA 93534 Ph: (661) 948-1655 |
| NPI Number | 1679538037 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 10/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679538037 | NPI | - | NPPES |
| G9225701 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 33967 (California) | Primary |
| 122300000X | Dentist | 22315 (California) | Secondary |
| 122300000X | Dentist | 16496 (California) | Secondary |
Romeo I. Stoll, Dds, Ms Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1340 W Avenue J, Lancaster, CA 93534 Phone: 661-948-4674 | |
All Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4023 W Avenue L, Lancaster, CA 93536 Phone: 661-722-7722 Fax: 661-722-7726 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 44407 Challenger Way, Lancaster, CA 93535 Phone: 661-341-3100 Fax: 661-942-2305 | |
Lancaster Children's Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1629 W Avenue J Ste 104, Lancaster, CA 93534 Phone: 661-945-0701 Fax: 661-206-8739 | |
Bilal Shammout Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 44215 15th St W Ste 313, Lancaster, CA 93534 Phone: 661-948-2721 Fax: 661-948-4055 | |
Dentist 4 Uninsured Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 657 W Avenue J, Lancaster, CA 93534 Phone: 661-726-1010 | |
Bradford Boyd, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 E Avenue J, Lancaster, CA 93535 Phone: 661-942-1179 |