| NPI | 1124572284 |
|---|---|
| Doing Business As | PACIFIC DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID SANGHO PARK CEO, CFO 310-403-1117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2022-01-11 |