| NPI | 1508204967 |
|---|---|
| Doing Business As | PARK PLACE DENTAL GROUP AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JEDEDIAH V HUSS Owner 805-499-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |