Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr Park Dental Corporation

Organization Dentist · NPI 1790263465

Dr Park Dental Corporation is a Dentist in Palmdale, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

38745 Tierra Subida Ave Ste 150
Palmdale, CA 93551-4567
Phone: (661) 272-9091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 53724 (CA)

Record details

NPI number1790263465
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Park — Ceo · (310) 403-1117
Other names West Av Dental Group; West Av Dental Group
NPI enumeratedAugust 3, 2018
Last updated in NPPESAugust 3, 2018
Mailing address1669 W Avenue J Ste 305, Lancaster, CA 93534-2870

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