Individual
DR. KYEONG MAN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
762 INDEPENDENCE BLVD STE 500, VIRGINIA BEACH, VA 23455-6242
(757) 272-5437
(757) 838-9150
Mailing address
762 INDEPENDENCE BLVD STE 500, VIRGINIA BEACH, VA 23455-6242
(757) 272-5437
(757) 210-4210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411191
VA
Other
Enumeration date
08/09/2006
Last updated
10/19/2023
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