Organization · Type 2 NPI

GH Park DDS A Dental Corporation

Dental Clinic/Center · Fullerton, CA

NPI number 1780192005 Active

Practice location

1031 Rosecrans Ave Ste 104
Fullerton, CA 92833-1946

Call (714) 530-1948 Map

Fax (714) 530-1186

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X49631 (CA)

Dental Clinic/Center: Definition to come...

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About NPI 1780192005

GH Park DDS A Dental Corporation's National Provider Identifier is 1780192005, issued on Jan 22, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fullerton, CA. The record was last updated on Jan 22, 2018.