| NPI | 1558763771 |
|---|---|
| Doing Business As | GROVE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID SANGHO PARK Dentist/President 916-714-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53724) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2020-12-04 |