| NPI | 1134214919 |
|---|---|
| Doing Business As | PARK WEST DENTAL GROUP AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CAROLYN GHAZAL Owner Dds 209-474-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-11-12 |