Individual
SUNGBUM PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6196 OXON HILL RD STE 540, OXON HILL, MD 20745-3112
(301) 686-1665
(301) 686-1779
Mailing address
6196 OXON HILL RD STE 540, OXON HILL, MD 20745-3112
(301) 686-1665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16038
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415611100
—
MD
Enumeration date
09/29/2008
Last updated
09/30/2024
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