Organization
SUN PARK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUN PARK (PRESIDENT)
(571) 485-9098
Entity
Organization
Contact information
Practice address
102 ELDEN ST STE 17, HERNDON, VA 20170-4827
(703) 485-9098
(703) 485-8098
Mailing address
102 ELDEN ST STE 17, HERNDON, VA 20170-4827
(703) 485-9098
(703) 485-8098
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401412056
VA
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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