Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 1414 7th St, Wasco, California |
Authorized Official Name and Position | William J Cox (PC HOLDER) |
Authorized Official Contact | 9495673166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 17179 Irvine CA 92623-7179 Ph: (949) 567-3176 | 1414 7th St Wasco CA 93280-1735 Ph: (661) 758-7955 |
NPI Number | 1740497460 |
---|---|
Provider Enumeration Date | 05/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740497460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 26160 (California) | Primary |
Dr D S Park Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1245 7th St, Wasco, CA 93280 Phone: 661-758-3021 Fax: 661-758-6780 | |