Dr. Charlie Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1598932212

Dr. Charlie Park is a Student in an Organized Health Care Education/Training Program in Ft Washington, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in: PA
In the registry since: 2008
Specialties on file: 2

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Practice location Address checks out

401 Commerce Dr Ste 108
Ft Washington, PA 19034-2714
Phone: (267) 460-4254

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

Specialties & licences

Dentist (primary)	Taxonomy 122300000X · Licence DS038502 (PA)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1598932212
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	May 12, 2008
Last updated in NPPES	March 5, 2012