Organization
YOUNG C. PARK, DDS., PC
Active
Other names
Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG CHUL PARK DDS (PRESIDENT)
(540) 563-9398
Entity
Organization
Contact information
Practice address
6625 WILLIAMSON RD, ROANOKE, VA 24019-4631
(540) 563-9398
Mailing address
6625 WILLIAMSON RD, ROANOKE, VA 24019-4631
(540) 563-9398
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401412589
VA
Other
Enumeration date
07/19/2011
Last updated
06/19/2022
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