Individual
DR. JENNIFER PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
5750 DOW AVE APT 241, ALEXANDRIA, VA 22304-4071
(443) 722-9856
Mailing address
5750 DOW AVE APT 241, ALEXANDRIA, VA 22304-4071
(443) 722-9856
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN1001639
DC
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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