Organization
STEPHEN PARK, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PARK D.D.S. (DENTIST)
(301) 587-2800
Entity
Organization
Contact information
Practice address
8630 FENTON ST, #928, SILVER SPRING, MD 20910-3806
(301) 587-2800
Mailing address
8630 FENTON ST, #928, SILVER SPRING, MD 20910-3806
(301) 587-2800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8165
MD
Other
Enumeration date
02/07/2006
Last updated
06/16/2011
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