Individual
EUNHYAE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4595 VAN BUREN ST, RIVERDALE, MD 20737-1080
(301) 641-2081
Mailing address
15 PITT CT, ROCKVILLE, MD 20850
(301) 641-2081
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
16485
MD
1223P0221X
Pediatric Dentistry
Primary
16485
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2016
Last updated
03/28/2022
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