SearchVirginiaGeneral Practice Dentistry

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 Services
Inferred 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