NPI | 1912226804 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES C PARK President 909-610-0565 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50087) |
Enumeration Date | 2010-05-18 |
Last Update Date | 2010-05-18 |