Search › Maryland › 111NR0400X
John Park, D.C
NPI 1659418572 · on the registry since 2007
Practice
- Address
- 15200 Shady Grove Rd
Suite 211
Rockville, MD 20850 - Phone
- (240) 477-8719
- Organisation at this address
- Kids Teeth
Kassmel Inc
Vital Rx Llc
Holystick,Llc
Preetimd, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 47
Registry record
- Primary taxonomy
- 111NR0400X
111NR0400X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-02-02
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 Maryland