| NPI | 1275950818 |
|---|---|
| Doing Business As | AV DENTAL GROUP |
| Doing Business As | ANTELOPE VALLEY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID S PARK Owner 310-403-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 53724) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2022-07-27 |