NPI | 1326437666 |
---|---|
Doing Business As | HIGHLAND DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | DAVID SANGHO PARK Dentist/President 916-999-0183 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 53724) |
Enumeration Date | 2015-01-09 |
Last Update Date | 2015-01-09 |