| NPI | 1992356075 |
|---|---|
| Doing Business As | SUN- PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | MINH NGUYEN CEO 916-390-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2021-01-13 |