| Park West Dental Group And Orthodontics | |
|
10928 Trinity Pkwy Stockton CA 95219-7230 | |
| (209) 474-8000 | |
| (209) 474-8333 |
| Full Name | Park West Dental Group And Orthodontics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10928 Trinity Pkwy, Stockton, California |
| Authorized Official Name and Position | Carolyn Ghazal (OWNER DDS) |
| Authorized Official Contact | 2094748000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park West Dental Group And Orthodontics 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Park West Dental Group And Orthodontics 10928 Trinity Pkwy Stockton CA 95219-7230 Ph: (209) 474-8000 |
| NPI Number | 1134214919 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 11/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134214919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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