Dr. William K Park
Dentist - General Practice
12419 Seal Beach Blvd
Seal Beach
, California 90740-2710
Dr. William K Park
Dentist - General Practice
12419 Seal Beach Blvd
Seal Beach
, California 90740-2710
(909) 973-4964
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. William K Park
- 19969 Auburn Ln
- Yorba Linda, CA
- Zip : 92886-7961
- Phone : (909) 973-4964
Second Address
- Dr. William K Park
- 12419 Seal Beach Blvd
- Seal Beach, CA
- Zip : 90740-2710
- Phone : (562) 431-0393
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 106661 | CA |
| Y | 213EG0000X | General Practice | 106661 | CA |
National Provider Identifier
| NPI | 1003434499 |
|---|---|
| Provider Name | Dr. William K Park |
| First Address | Yorba Linda, CA 92886-7961 |
| Second Address | Seal Beach, CA 90740-2710 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2020 |
| Last Update Date | 19/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.