Individual
MICHAEL Y PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1702 TRANSPORTATION BLVD STE F, CROFTON, MD 21114-2151
(410) 721-5000
Mailing address
1702 TRANSPORTATION BLVD STE F, CROFTON, MD 21114-2151
(267) 216-7590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16989
MD
Other
Enumeration date
08/08/2019
Last updated
04/18/2022
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