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Individual

CHARLES C PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1702 S MAIN ST, SANTA ANA, CA 92707-1836
(714) 972-2828
(714) 972-2829
Mailing address
1702 S MAIN ST, SANTA ANA, CA 92707-1836
(714) 972-2828
(714) 972-2829

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50087
CA

Other

Enumeration date
11/09/2006
Last updated
05/08/2026
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