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

Marisa Park

Individual provider Dental Hygienist · NPI 1528702826

Marisa Park is a Dental Hygienist in LA Mirada, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
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Practice location Address checks out

14340 Alicante Rd
LA Mirada, CA 90638-3607
Phone: (626) 607-6642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence HAP845 (CA)

Record details

NPI number1528702826
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 22, 2022
Last updated in NPPESApril 22, 2022
Certification dateApril 22, 2022
Mailing address14340 Alicante Rd, La Mirada, CA 90638-3607

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