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Kyung Park, DDS
NPI 1669518676 · on the registry since 2007 · sole proprietor
Practice
- Address
- 44031 Pipeline Plz
Suite 215
Ashburn, VA 20147 - Phone
- (646) 489-8909
- Organisation at this address
- Paradigm Shift Llc
Capitol Contours Llc
Authentic Connections Counseling Llc
Gonzales-Vigilar Psychiatric ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- General Practice Dentistry
- Licence states on file
- NY, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-20
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