Henry Insuk Park DDS

NPI 1083688147 - Dentist - 1223G0001X

NPI Details
NPI 1083688147
Gender Male
Enumeration Date 02/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
7611 LITTLE RIVER TPKE
SUITE 106W
ANNANDALE VA, 22003-2602, US
Phone (703) 750-0110
Fax (703) 750-1211
Business Location
7611 LITTLE RIVER TPKE
SUITE 106W
ANNANDALE VA, 22003-2602, US
Phone (703) 750-0110
Fax (703) 750-1211
Toxanomy
Taxonomy Code 1223G0001X
License State Maryland
License Number 13147
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According to our database, Dr. Henry Insuk Park DDS NPI is 1083688147, taxonomy code is 1223G0001X and license number is 13147, license state is located at Maryland. Henry Insuk Park DDS physically located at 7611 Little River Tpke, Annandale VA, 22003-2602. NPI Number Henry Insuk Park DDS has the Individual type.

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1083688147 NPI number is provided on an as is basis without warranty of any kind. 1083688147 is maintained by the National Plan & Provider Enumeration System. The contents of Henry Insuk Park DDS are for informational purposes only.