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Individual

JULIE PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
100 GALLATIN ST NE, WASHINGTON, DC 20011-7533
(844) 796-2797
(202) 483-0302
Mailing address
7410 HULL STREET RD STE 101, NORTH CHESTERFIELD, VA 23235-5834

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418010
VA

Other

Enumeration date
04/25/2021
Last updated
08/04/2025
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