| Sangho Park Dental Inc | |
|
603 Wake Ave Suite #3 El Centro CA 92243-7500 | |
| (516) 776-0449 | |
| (760) 353-4887 |
| Full Name | Sangho Park Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 603 Wake Ave, El Centro, California |
| Authorized Official Name and Position | Sangho Park (CEO) |
| Authorized Official Contact | 5167760449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sangho Park Dental Inc 699 Wake Ave #63 El Centro CA 92243-9598 Ph: (516) 776-0449 | Sangho Park Dental Inc 603 Wake Ave Suite #3 El Centro CA 92243-7500 Ph: (516) 776-0449 |
| NPI Number | 1902056930 |
|---|---|
| Provider Enumeration Date | 09/26/2008 |
| Last Update Date | 09/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902056930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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