Michelle Park
NPI #1831956861 in North Chesterfield, Virginia
Provider Information
- NPI Number
- 1831956861
- Entity Type
- Individual
- Name
- Michelle Park
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 5, 2024
- Last Updated
- Jun 5, 2024
Practice Location
- Address
- 11124 MIDLOTHIAN TPKE
- State
- Virginia
- ZIP Code
- 23235-4712
- Phone
- (804) 893-5079
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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