Individual
DR. KYUNG WOOK PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
44031 PIPELINE PLZ, SUITE 215, ASHBURN, VA 20147-5887
(646) 489-8909
Mailing address
9659 EATON WOODS PL, LORTON, VA 22079-2338
(646) 489-8909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401411803
VA
1223G0001X
General Practice Dentistry
Primary
051203
NY
Other
Enumeration date
01/29/2007
Last updated
06/20/2011
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