David Park Mph Dds Professional Corporation

LBN: David Park Mph Dds Professional Corporation
David Park Mph Dds Professional Corporation is an health care organization with primary practice located at 1669 W Avenue J 305, Lancaster CA 93534-2866. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. David Park Mph Dds Professional Corporation can be contacted via phone (661) 802-7544, or through Park, David S via phone (661) 802-7455.

Contact Information

Primary practice address
1669 W Avenue J 305 Lancaster CA 93534-2866
Fax:
Website:
Authorized official contact:
Name: Park, David S Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X California

Profile Details

NPI number 1548701626
LBN Legal business name David Park Mph Dds Professional Corporation
DBA Doing business as
Authorized official Park, David S Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2017
Last updated Mar 9th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548701626 NPPES
California MEDICAID 53724

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