| NPI | 1548540552 |
|---|---|
| Doing Business As | VALLEY ACE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MINDY PARK General Dentist 818-576-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 54241) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2023-10-11 |