| Chan M. Park, D.d.s., M.d., Pc And Benjamin R. Shimel, D.d.s., Pc A Pa | |
|
111 Deerwood Rd Ste 130 San Ramon CA 94583-2194 | |
| (925) 217-4884 | |
| (925) 217-4895 |
| Full Name | Chan M. Park, D.d.s., M.d., Pc And Benjamin R. Shimel, D.d.s., Pc A Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 111 Deerwood Rd Ste 130, San Ramon, California |
| Authorized Official Name and Position | Chan M Park (PARTNER) |
| Authorized Official Contact | 9252174884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chan M. Park, D.d.s., M.d., Pc And Benjamin R. Shimel, D.d.s., Pc A Pa 111 Deerwood Rd Ste 130 San Ramon CA 94583-2194 Ph: (925) 217-4884 | Chan M. Park, D.d.s., M.d., Pc And Benjamin R. Shimel, D.d.s., Pc A Pa 111 Deerwood Rd Ste 130 San Ramon CA 94583-2194 Ph: (925) 217-4884 |
| NPI Number | 1124660014 |
|---|---|
| Provider Enumeration Date | 10/11/2019 |
| Last Update Date | 10/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124660014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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