| NPI | 1588997951 |
|---|---|
| Doing Business As | MISSION BAY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KWANG SEO PARK Dentist/ CEO 858-270-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49384) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |