Moreno Dental Care

LBN: Kim & Park A Dental Corporation
Moreno Dental Care is an health care organization with primary practice located at 23750 Alessandro Blvd Suite O-102, Moreno Valley CA 92553-8811. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Kim & Park A Dental Corporation can be contacted via phone (951) 656-0088, or through Park, Charles C via phone (951) 656-0088.

Contact Information

Primary practice address
23750 Alessandro Blvd Suite O-102 Moreno Valley CA 92553-8811
Phone: (951) 656-0088
Fax: (951) 656-0034
Website:
Map and Directions
Authorized official contact:
Name: Park, Charles C Doctor of Dental Surgery (DDS)
Phone: (951) 656-0088

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 50087 California

Profile Details

NPI number 1699969998
LBN Legal business name Kim & Park A Dental Corporation
DBA Doing business as Moreno Dental Care
Authorized official Park, Charles C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2007
Last updated Aug 29th, 2007 - about 17 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 1699969998 NPPES
California Other G89861-01 DENTI-CAL

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