Olivia Park Dental Corporation
Organization Active NPI Dental Clinic/Center · Shafter, CA
NPI 1083368765 · NPPES record last updated Feb 10, 2022
Key facts
- NPI
- 1083368765
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- OLIVIA PARK DENTAL CORPORATION
- Practice address
- 1110 E Lerdo Hwy Ste 200
Shafter, CA 93263-9415 - Phone
- (661) 746-6989
- NPI assigned
- Feb 10, 2022
- Organization subpart
- No
Authorized official
- Name
- Olivia Park
- Title
- President
- Phone
- (337) 424-5950
Practitioners 1
-
Olivia Jin-Young Park, D.D.S.
National Provider Directory
Locations
1110 E Lerdo Hwy
#200
Shafter, CA 93263
Phone (661) 746-6989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
1110 E Lerdo Hwy Ste 200
Shafter, CA 93263-9415
Mailing address
1110 E Lerdo Hwy Ste 200
Shafter, CA 93263-9415
Phone (661) 746-6989
Other providers in Shafter, CA
- Brenda J Mulder
- Christian O'Brian Munoz
- Monica Jeannemarian Murphy
- National Heath Services
- Adena Nguyen
- Omni Family Health
- Omni Family Health
- Omni Family Health
- Omni Family Health
- Omni Family Health
All providers in Shafter, CA · Dental Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.