Individual
DR. DONG S PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14100 PARK MEADOW DR STE 110, CHANTILLY, VA 20151-2292
(703) 466-5115
(703) 466-5502
Mailing address
14100 PARK MEADOW DR STE 110, CHANTILLY, VA 20151-2292
(703) 466-5115
(703) 466-5502
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401414636
VA
Other
Enumeration date
05/26/2006
Last updated
03/20/2023
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