| NPI | 1043641319 |
|---|---|
| Doing Business As | MADISON SPRINGS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID PARK Owner 951-698-3585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 53724) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |