Charles Park, DDS
NPI 1639140023 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4290 Chain Bridge Rd Ste 202
Fairfax, VA 22030 - Phone
- (703) 828-6630
- Fax
- (888) 636-8702
- Organisation at this address
- Karis Dental, Pllc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 10107 Baltimore Ave Apt 4307, College Park, MD
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-27
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia