DR. Derek Park, M.D., D.D.S.
NPI #1770826406 in Foster City, California
Provider Information
- NPI Number
- 1770826406
- Entity Type
- Individual
- Name
- DR. Derek Park, M.D., D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- M.D., D.D.S.
- Enumeration Date
- Apr 1, 2013
- Last Updated
- Jan 3, 2022
Practice Location
- Address
- 581 FOSTER CITY BLVD
- City
- Foster City
- State
- California
- ZIP Code
- 94404-1695
- Phone
- (650) 286-9999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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