Individual
DR. EDWARD PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
24560 SOUTHPOINT DR STE 370, ALDIE, VA 20105-3513
(571) 463-1184
Mailing address
24560 SOUTHPOINT DR STE 370, ALDIE, VA 20105-3513
(571) 463-1184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415487
VA
Other
Enumeration date
09/26/2014
Last updated
03/05/2025
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