| NPI | 1912252750 |
|---|---|
| Doing Business As | CLEAN DENTAL |
| Entity Type | Organization |
| Authorized Contact | SANG W PARK CEO 214-765-6213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23653) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |