Individual
DR. STEPHEN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
(301) 587-2800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8165
MD
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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