Individual provider · Type 1 NPI

Alice Park

General Practice Dentistry · San Diego, CA

NPI number 1558047712 Active

Practice location

2310 Craven St
San Diego, CA 92136-4020

Call (619) 556-8240 Map

Mailing address

12198 Ferncrest Pl
San Diego, CA 92128-4349

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X112159 (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.

39 other providers at this address

Other general practice dentistry providers in San Diego

See all in San Diego →

About NPI 1558047712

Alice Park's National Provider Identifier is 1558047712, issued on Jun 23, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Diego, CA. The record was last updated on Jul 30, 2025.