| NPI | 1194215442 |
|---|---|
| Doing Business As | CHILDREN & ADULT DENTISTRY- SANTA ANA |
| Entity Type | Organization |
| Authorized Contact | DAVID PARK Owner 714-210-0169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53724) |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2018-05-12 |