| NPI | 1740900125 |
|---|---|
| Doing Business As | SPROUT PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH PARK President 626-408-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |