Individual
DR. SUN YOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
102 ELDEN ST, STE #17, HERNDON, VA 20170-4868
(703) 987-8049
Mailing address
102 ELDEN ST, STE #17, HERNDON, VA 20170-4868
(703) 987-8049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412056
VA
Other
Enumeration date
11/07/2011
Last updated
03/26/2012
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