Individual
SOR BI PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7837 ROLLING RD, SPRINGFIELD, VA 22153-2821
(571) 977-1874
Mailing address
7837 ROLLING RD, SPRINGFIELD, VA 22153-2821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419477
VA
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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