William K Park, DDS Valid NPI
Individual provider · General Practice Dentistry · Lake Forest, CA
- NPI
- 1003434499
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 106661 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-07-11
- Last updated
- 2026-07-02
Practice location
26741 Rancho Pkwy Ste 105-A
Lake Forest, CA 92630-8710
(949) 716-4892