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1578570040
JAMIE H PARK
FAIRFAX, VA
NPI
1578570040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401410033)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
Dr. JAMIE H PARK D.D.S.
10680 MAIN ST SUITE 150
FAIRFAX, VA 22030-3810
Phone number: 703-385-4569
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Mailing Address
Dr. JAMIE H PARK D.D.S.
10680 MAIN ST SUITE 150
FAIRFAX, VA 22030-3810
Phone number: 703-385-4569
Copy
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