| NPI | 1922867621 |
|---|---|
| Doing Business As | MADISON PARK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KAREN JUNG ROSEN Owner 310-953-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-15 |