Individual provider · Type 1 NPI

Peter Park, DDS

Dental Anesthesiology · Covina, CA

NPI number 1992181598 Active

Practice location

246 W College St
Covina, CA 91723-1910

Call (626) 966-2222 Map

Mailing address

26061 Lawton Ave
Loma Linda, CA 92354-3836

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology Primary 1223D0004X64710 (CA)

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

6 other providers at this address

About NPI 1992181598

Peter Park, DDS's National Provider Identifier is 1992181598, issued on Aug 5, 2015. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Covina, CA. The record was last updated on Aug 5, 2015.