Smile Dental Of San Diego

LBN: D Sangho Park Dds Mph Dental Corporation
Smile Dental Of San Diego is an health care organization with primary practice located at 7484 University Ave Ste 150 , La Mesa CA 91942-6084. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. D Sangho Park Dds Mph Dental Corporation can be contacted via phone (619) 462-2272, or through Park, David via phone (310) 403-1117.

Contact Information

Primary practice address
7484 University Ave Ste 150 La Mesa CA 91942-6084
Phone: (619) 462-2272
Fax: (619) 462-2290
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

Profile Details

NPI number 1134602469
LBN Legal business name D Sangho Park Dds Mph Dental Corporation
DBA Doing business as Smile Dental Of San Diego
Authorized official Park, David Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2018
Last updated Jan 6th, 2020 - about 4 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 1134602469 NPPES
California MEDICAID 53724

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