Chan M. Park, D.d.s., M.d., PC and Benjamin R. Shimel, D.d.s., PC a PA
NPI #1124660014 in San Ramon, California
Provider Information
- NPI Number
- 1124660014
- Entity Type
- Organization
- Organization Name
- Chan M. Park, D.d.s., M.d., PC and Benjamin R. Shimel, D.d.s., PC a PA
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 11, 2019
- Last Updated
- Oct 11, 2019
Practice Location
- Address
- 111 DEERWOOD RD STE 130
- City
- San Ramon
- State
- California
- ZIP Code
- 94583-2194
- Phone
- (925) 217-4884
Authorized Official
- Name
- CHAN M PARK, MD, DDS
- Title
- PARTNER
- Phone
- (925) 217-4884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Benjamin Ryan Shimel, DDS | |
| DR. Jeremy Brent Owyoung, DDS | |
| DR. Anthony Joseph Rega, DDS | |
| DR. Kyle Bruce Van Brocklin, D.M.D., M.S. |
Organizations
| Provider Name | |
|---|---|
| Hong Xie, Dds, Inc. |
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