Individual
CHRISTIE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 S GLENOAKS BLVD STE 12, BURBANK, CA 91502
(818) 846-2854
Mailing address
303 S GLENOAKS BLVD STE 12, BURBANK, CA 91502-1184
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
101734
CA
Other
Enumeration date
04/27/2016
Last updated
12/26/2021
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