Organization · Type 2 NPI
Chan M. Park, D.d.s., M.d., PC and Benjamin R. Shimel, D.d.s., PC A PA
Oral and Maxillofacial Surgery (Dentist) · San Ramon, CA
Practice location
111 Deerwood Rd Ste 130
San Ramon, CA 94583-2194
Fax (925) 217-4895
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in San Ramon
About NPI 1124660014
Chan M. Park, D.d.s., M.d., PC and Benjamin R. Shimel, D.d.s., PC A PA's National Provider Identifier is 1124660014, issued on Oct 11, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Ramon, CA. The record was last updated on Oct 11, 2019.