Individual
DENNIS C PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 N SAN MATEO DR, SAN MATEO, CA 94401-2889
(650) 342-0854
(650) 342-2198
Mailing address
77 N SAN MATEO DR, SAN MATEO, CA 94401-2889
(650) 342-0854
(650) 342-2198
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A87715
CA
Other
Enumeration date
08/01/2006
Last updated
07/09/2007
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