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Organization
YOUNG C. PARK, DDS., PC
Active
Organization
YOUNG C. PARK, DDS., PC
Active
Other names
Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG CHUL PARK DDS (PRESIDENT)
(540) 563-9398
Entity
Organization
Contact information
Practice address
6625 WILLIAMSON RD, ROANOKE, VA 24019-4631
(540) 563-9398
Mailing address
6625 WILLIAMSON RD, ROANOKE, VA 24019-4631
(540) 563-9398
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401412589
VA
Other
Enumeration date
07/19/2011
Last updated
06/19/2022
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