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Organization
KARIS DENTAL, PLLC
Active
Organization
KARIS DENTAL, PLLC
Active
Other names
Karis Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES H. PARK DDS (DENTIST)
(703) 853-0415
Entity
Organization
Contact information
Practice address
4290 CHAIN BRIDGE RD, SUITE #202, FAIRFAX, VA 22030-8157
(703) 828-6630
(888) 636-8702
Mailing address
4290 CHAIN BRIDGE RD, SUITE #202, FAIRFAX, VA 22030-8157
(703) 828-6630
(888) 636-8702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411122
VA
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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