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

Park Professional Dental Corp

Organization Dentist · NPI 1386135671

Park Professional Dental Corp is a Dentist in Los Angeles, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

600 W Manchester Ave Ste 2
Los Angeles, CA 90044
Phone: (323) 750-1582
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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 number1386135671
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Peevy — Rdo · (661) 430-3283
Other names Smile Dental Of Los Angeles; Smile Dental Of Los Angeles
NPI enumeratedMay 23, 2018
Last updated in NPPESJuly 3, 2018
Mailing address600 W Manchester Ave Ste 2, Los Angeles, CA 90044-5700

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