| NPI | 1831851484 |
|---|---|
| Doing Business As | DEER PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | QIAN SHEEN President 510-928-8209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-12 |