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Peter Park, DDS
Dentist Anesthesiologist in Covina, California
NPI 1992181598

Peter Park is a Dentist Anesthesiologist based in Loma Linda, CA and is specialized in Dentist Anesthesiologist. Peter Park practices in Covina, CA and has the professional credentials of DDS. The NPI Number for Peter Park is 1992181598 and holds a License No. 64710 (California).

The current practice location address for Peter Park is 246 W College St, Covina, CA and can be reached out via phone at 626-966-2222.

Location: 246 W College St, Covina, CA, 92354-3836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992181598
Provider Name
Peter Park
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
246 W College St, Covina, CA, 92354-3836
Phone Number
626-966-2222
Fax Number
Provider Enumeration Date
08/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
246 W College St
City
Covina
State
California
Zip
91723-1910
Phone Number
626-966-2222
Fax Number
person
Provider Business Mailing Address Details
Address
246 W College St
City
Covina
State
California
Zip
91723-1910
Phone Number
626-966-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
64710 (California)
Definition
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.
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