NPI | 1134550403 |
---|---|
Doing Business As | NORWALK DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | DAVID S PARK Owner 562-584-4288 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 53724) |
Enumeration Date | 2013-12-11 |
Last Update Date | 2016-04-20 |