David Sangho Park DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DAVID SANGHO PARK DDS INC

Doing business as

Winning Smile Dental Group

Practice address

12732 San Pablo Ave
Richmond, CA 94805-1303

Phone

(510) 233-3100

Fax

(510) 233-3434

NPI assigned

Jun 1, 2016

Last updated

Jun 1, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandi De Armon

Title

Regional Manager

Phone

(209) 263-1505

Specialties & licenses 3

Addresses

Other names 1

• Winning Smile Dental Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1891143780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12732 SAN PABLO AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948051303",
            "telephone_number": "510-233-3100",
            "fax_number": "510-233-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12732 SAN PABLO AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948051303",
            "telephone_number": "510-233-3100",
            "fax_number": "510-233-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SANGHO PARK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "DE ARMON",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "209-263-1505"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winning Smile Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Della Dash, RN, BSN, MPH
• Rommel Dass
• Marie Davalos
• David Wren, Jr., M.D., Inc
• Darshan David, M.P.T.
• Jordan David, DPT
• David's Chariot Mobility Transportation
• Maristela Azevedo Davids, DOULA

• Dentist in Richmond, CA
• Providers in Richmond, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.