Search › Pennsylvania › 122300000X

Charlie Park

NPI 1598932212 · on the registry since 2008

Practice

Address
401 Commerce Dr
Suite 108
Ft Washington, PA 19034
Phone
(267) 460-4254
Organisation at this address
Advanced Oral Surgery Pc
Advanced Family Smile Care, Pc
American Family Dentistry, P.C.
Tendedr Loving Care Health Care Services Of Pa, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania