Kyeong Man Park DDS

NPI 1073523387 - Dentist - 1223G0001X

NPI Details
NPI 1073523387
Gender Male
Enumeration Date 08/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
21 TOWN CENTER WAY
HAMPTON VA, 23666-1999, US
Phone (757) 838-9140
Fax (757) 838-9150
Business Location
21 TOWN CENTER WAY
HAMPTON VA, 23666-1999, US
Phone (757) 838-9140
Fax (757) 838-9150
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 0401411191
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According to our database, Dr. Kyeong Man Park DDS NPI is 1073523387, taxonomy code is 1223G0001X and license number is 0401411191, license state is located at Virginia. Kyeong Man Park DDS physically located at 21 Town Center Way, Hampton VA, 23666-1999. NPI Number Kyeong Man Park DDS has the Individual type.

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1073523387 NPI number is provided on an as is basis without warranty of any kind. 1073523387 is maintained by the National Plan & Provider Enumeration System. The contents of Kyeong Man Park DDS are for informational purposes only.