Organization · Type 2 NPI

D Park Professional Dental Corp

General Practice Dentistry · Santa Ana, CA

NPI number 1194215442 Active

Practice location

512 W 17th St Ste B
Santa Ana, CA 92706-3678

Fax (714) 972-0162

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	53724 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2 other providers at this address

Other general practice dentistry providers in Santa Ana

See all in Santa Ana →

NPI record

NPI: 1194215442
Entity type: Organization (Type 2)
Issued: May 12, 2018
Last updated: May 12, 2018
Status: Active

Other names

<unavail>
Children & Adult Dentistry- Santa Ana · doing business as
Children & Adult Dentistry- Santa Ana · doing business as

Authorized official

David Park, DDS
Owner
(714) 210-0169

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1194215442

D Park Professional Dental Corp's National Provider Identifier is 1194215442, issued on May 12, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Santa Ana, CA. The record was last updated on May 12, 2018.