Individual
DR. CHARLES HEE YONG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4290 CHAIN BRIDGE RD STE 202, FAIRFAX, VA 22030-8158
(703) 828-6630
(888) 636-8702
Mailing address
4290 CHAIN BRIDGE RD STE 202, FAIRFAX, VA 22030-8158
(703) 828-6630
(888) 636-8702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411122
VA
Other
Enumeration date
02/01/2006
Last updated
04/27/2019
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