DR. Charles Hee Yong Park, DDS

NPI #1639140023 in Fairfax, Virginia

Provider Information

NPI Number: 1639140023
Entity Type: Individual
Name: DR. Charles Hee Yong Park, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 1, 2006
Last Updated: Apr 27, 2019

Practice Location

Address: 4290 CHAIN BRIDGE RD STE 202
City: Fairfax
State: Virginia
ZIP Code: 22030-8158
Phone: (703) 828-6630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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