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General NPI Number Information
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NPI Number | 1699925453
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Entity Type | Organization
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Legal Business Name | PRO DENTAL GROUP
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 09/29/2008
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Provider Practice Location Address
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Address Line | 1111 24TH ST SUITE 201
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City | SACRAMENTO
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State | CA
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Zip | 95816-5019
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Country | US
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Telephone | 916-442-5228
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 24TH ST SUITE 201
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City | SACRAMENTO
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State | CA
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Zip | 95816-5019
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Country | US
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Telephone | 916-442-5228
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Fax |
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | DR. DAVID S PARK
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Credential | DDS
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Telephone | 916-442-5228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 53724
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License Number State | CA
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