| Jung H Park Dds Llc | |
|
7900 Andrus Rd Ste 1 Alexandria VA 22306-3167 | |
| (703) 679-8959 | |
| Not Available |
| Full Name | Jung H Park Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7900 Andrus Rd Ste 1, Alexandria, Virginia |
| Authorized Official Name and Position | Jung Hoon Park (MEMBER) |
| Authorized Official Contact | 7036798959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jung H Park Dds Llc 7900 Andrus Rd Ste 1 Alexandria VA 22306-3167 Ph: (703) 679-8959 | Jung H Park Dds Llc 7900 Andrus Rd Ste 1 Alexandria VA 22306-3167 Ph: (703) 679-8959 |
| NPI Number | 1639734627 |
|---|---|
| Provider Enumeration Date | 05/05/2019 |
| Last Update Date | 05/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639734627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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