Individual
DR. BRIAN STEPHEN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8630 FENTON ST STE 928, SILVER SPRING, MD 20910-3810
(301) 587-2800
Mailing address
8630 FENTON ST STE 928, SILVER SPRING, MD 20910-3810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
056781-1
NY
122300000X
Dentist
Primary
15276
MD
Other
Enumeration date
07/04/2013
Last updated
06/10/2014
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