Individual
JU HEE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4322 RAVENSWORTH RD, ANNANDALE, VA 22003-5630
(703) 256-5870
Mailing address
5117 OVERLOOK PARK, ANNANDALE, VA 22003-4361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419412
VA
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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