Individual
YOUN SEON PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7400 GRANBY ST STE D, NORFOLK, VA 23505-3436
(703) 531-7294
Mailing address
3006 HICKORY GROVE CT, FAIRFAX, VA 22031-1140
(703) 531-7294
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418015
VA
Other
Enumeration date
05/17/2022
Last updated
07/26/2024
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