Individual
DR. ROBERT D PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9727 GREENSIDE DR, COCKEYSVILLE, MD 21030-5030
(410) 667-6404
Mailing address
9727 GREENSIDE DR, COCKEYSVILLE, MD 21030-5030
(410) 667-6404
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401413036
VA
Other
Enumeration date
07/13/2007
Last updated
09/21/2015
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