| NPI | 1669777686 |
|---|---|
| Doing Business As | CLEAN DENTAL |
| Entity Type | Organization |
| Authorized Contact | SANG WOO PARK CEO 614-530-1189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23653) |
| Enumeration Date | 2011-01-23 |
| Last Update Date | 2014-12-27 |