Coffee Dental Group

LBN: D Park Dds Inc
Coffee Dental Group is an health care organization with primary practice located at 1130 Coffee Rd Ste 1A , Modesto CA 95355-4228. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. D Park Dds Inc can be contacted via phone (209) 523-5991, or through Park, David via phone (310) 403-1117.

Contact Information

Primary practice address
1130 Coffee Rd Ste 1A Modesto CA 95355-4228
Phone: (209) 523-5991
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Park, David Doctor of Dental Surgery (DDS)
Phone: (310) 403-1117

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 53724 California

Profile Details

NPI number 1174869796
LBN Legal business name D Park Dds Inc
DBA Doing business as Coffee Dental Group
Authorized official Park, David Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2012
Last updated Dec 31st, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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