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Dr. Dong S Park, DDS
Periodontist in Chantilly, Virginia
NPI 1013963230

Dong S Park is a Periodontist based in Chantilly, VA and is specialized in Periodontics. Dong S Park practices in Chantilly, VA and has the professional credentials of DDS. The NPI Number for Dong S Park is 1013963230 and holds a License No. 0401414636 (Virginia).

The current practice location address for Dong S Park is 14100 Park Meadow Dr Ste 110, Chantilly, VA and can be reached out via phone at 703-466-5115 and via fax at 703-466-5502.

Location: 14100 Park Meadow Dr Ste 110, Chantilly, VA, 20151-2292
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013963230
Provider Name
Dong S Park
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
14100 Park Meadow Dr Ste 110, Chantilly, VA, 20151-2292
Phone Number
703-466-5115
Fax Number
703-466-5502
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
14100 Park Meadow Dr Ste 110
City
Chantilly
State
Virginia
Zip
20151-2292
Phone Number
703-466-5115
Fax Number
703-466-5502
person
Provider Business Mailing Address Details
Address
14100 Park Meadow Dr Ste 110
City
Chantilly
State
Virginia
Zip
20151-2292
Phone Number
703-466-5115
Fax Number
703-466-5502
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
0401414636 (Virginia)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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