Charles C. Park D.d.s. a Professional Corporation
NPI #1962879387 in Orange, California
Provider Information
- NPI Number
- 1962879387
- Entity Type
- Organization
- Organization Name
- Charles C. Park D.d.s. a Professional Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 2, 2015
- Last Updated
- Sep 2, 2015
Practice Location
- Address
- 1518 E. LINCOLN AVE.
- City
- Orange
- State
- California
- ZIP Code
- 92865
- Phone
- (714) 998-8998
Authorized Official
- Name
- CHARLES C. PARK, D.D.S.
- Title
- PRESIDENT
- Phone
- (714) 998-8998
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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