Individual
INGRID H PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2999 REGENT ST STE 408, BERKELEY, CA 94705-2119
(510) 849-3613
Mailing address
2999 REGENT ST STE 408, BERKELEY, CA 94705-2119
(415) 948-0380
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
51369
CA
Other
Enumeration date
11/03/2007
Last updated
03/24/2026
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