Sjpark Dental, PC

NPI #1245059492 in Fairfax, Virginia

Provider Information

NPI Number: 1245059492
Entity Type: Organization
Organization Name: Sjpark Dental, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 4, 2024
Last Updated: Oct 4, 2024

Practice Location

Address: 4001 FAIR RIDGE DR STE 105
City: Fairfax
State: Virginia
ZIP Code: 22033-2917
Phone: (703) 352-0741

Authorized Official

Name: SUNGBUM PARK, DDS
Title: DIRECTOR/ DENTIST
Phone: (703) 352-0741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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