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 provides Dentist services 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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