Kings Park Dental, LLC
NPI #1225640394 in Springfield, Virginia
Provider Information
- NPI Number
- 1225640394
- Entity Type
- Organization
- Organization Name
- Kings Park Dental, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 20, 2020
- Last Updated
- Aug 20, 2020
Practice Location
- Address
- 8942 BURKE LAKE RD
- City
- Springfield
- State
- Virginia
- ZIP Code
- 22151-1004
- Phone
- (571) 407-5981
Authorized Official
- Name
- DR. TYLER YI, DDS
- Title
- OWNER/GENERAL DENTIST
- Phone
- (571) 407-5981
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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