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1225478282
BRIAN STEPHEN PARK
SILVER SPRING, MD
NPI
1225478282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MD 15276)
Additional Taxonomies
122300000X Dentist
(Licence: NY 056781-1)
Enumeration Date
2013-07-04
Last Update Date
2014-06-10
Business Address
Dr. BRIAN STEPHEN PARK D.D.S.
8630 FENTON ST STE 928
SILVER SPRING, MD 20910-3810
Phone number: 301-587-2800
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Mailing Address
Dr. BRIAN STEPHEN PARK D.D.S.
8630 FENTON ST STE 928
SILVER SPRING, MD 20910-3810
Phone number:
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