Organization
CHARLES C. PARK D.D.S. A PROFESSIONAL CORPORATION
Active
Other names
Dream Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES C. PARK D.D.S. (PRESIDENT)
(714) 998-8998
Entity
Organization
Contact information
Practice address
1518 E. LINCOLN AVE., ORANGE, CA 92865
(714) 998-8998
(714) 998-0771
Mailing address
1518 E. LINCOLN AVE., ORANGE, CA 92865
(714) 998-8998
(714) 998-0771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50087
CA
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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