Most Relevant Information
Provider Data
| NPI Number: | 1003434499 |
| Provider Name: | WILLIAM K PARK DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 106661 |
Most Important Dates
| Enumeration Date: | 07/11/2020 |
| Last Updated: | 12/07/2022 |
Provider Practice Location
26741 RANCHO PKWY STE 105-A
LAKE FOREST
CA
926308710
Practice Location Phone/Fax
| Phone: | 9497164892 |
| Fax: |
Provider Mailing Location
19969 AUBURN LN
YORBA LINDA
CA
928867961
Provider Mailing Phone/Fax
| Phone: | 9099734964 |
| Fax: |