| NPI | 1578851002 |
|---|---|
| Doing Business As | PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | YOUNG CHUL PARK President 540-563-9398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401412589) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2022-06-19 |