Individual
DR. CHAN M PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3460 E LA PALMA AVE STE 202, ANAHEIM, CA 92806-2020
(833) 574-2273
Mailing address
3460 E LA PALMA AVE STE 202, ANAHEIM, CA 92806-2020
(833) 574-2273
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A109104
CA
Other
Enumeration date
03/16/2007
Last updated
07/25/2022
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