Chan M Park MD, DDS

NPI 1871617027 - Dentist - 1223S0112X

NPI Details
NPI 1871617027
Gender Male
Enumeration Date 03/16/2007
Last Updated 11/06/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1411 E 31ST ST
HIGHLAND HOSPITAL
OAKLAND CA, 94602-1018, US
Phone (510) 437-4101
Fax (510) 437-5128
Business Location
1411 E 31ST ST
HIGHLAND HOSPITAL
OAKLAND CA, 94602-1018, US
Phone (510) 437-4101
Fax (510) 437-5128
Toxanomy
Taxonomy Code 1223S0112X
License State California
License Number 54673
Remove 1871617027 NPI Number
 

According to our database, Dr. Chan M Park MD, DDS NPI is 1871617027, taxonomy code is 1223S0112X and license number is 54673, license state is located at California. Chan M Park MD, DDS physically located at 1411 E 31st St, Oakland CA, 94602-1018. NPI Number Chan M Park MD, DDS has the Individual type.

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1871617027 NPI number is provided on an as is basis without warranty of any kind. 1871617027 is maintained by the National Plan & Provider Enumeration System. The contents of Chan M Park MD, DDS are for informational purposes only.