College Street Dental Group

LBN: College Street Dental Group
College Street Dental Group is an health care organization with primary practice located at 153 W College St , Covina CA 91723-2008. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. College Street Dental Group can be contacted via phone (626) 339-9085, or through Park, David S via phone (626) 339-9085.

Contact Information

Primary practice address
153 W College St Covina CA 91723-2008
Phone: (626) 339-9085
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Park, David S Doctor of Dental Surgery (DDS)
Phone: (626) 339-9085

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 53724 California

Profile Details

NPI number 1538313408
LBN Legal business name College Street Dental Group
DBA Doing business as College Street Dental Group
Authorized official Park, David S Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2008
Last updated Nov 5th, 2008 - about 16 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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