Organization
PARK DENTAL SOLUTIONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG C PARK DDS (OWNER/PRESIDENT)
(540) 492-0893
Entity
Organization
Contact information
Practice address
1175 FRANKLIN ST, ROCKY MOUNT, VA 24151-1248
(540) 483-7577
Mailing address
1175 FRANKLIN ST, ROCKY MOUNT, VA 24151-1248
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401412589
VA
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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