Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alice Park

Individual provider General Practice Dentistry · NPI 1558047712

Alice Park is a General Practice Dentistry in San Diego, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

2310 Craven St
San Diego, CA 92136-4020
Phone: (619) 556-8240
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 112159 (CA)

Record details

NPI number1558047712
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 23, 2023
Last updated in NPPESJuly 30, 2025
Certification dateJuly 21, 2025

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