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
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 SurgeryOral and Maxillofacial Surgery

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