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Dr. Hae Duk Park, DMD
General Practice Dentistry in Manassas, Virginia
NPI 1174607832

Hae Duk Park is a General Practice Dentistry based in Manassas, VA and is specialized in General Practice. Hae Duk Park practices in Manassas, VA and has the professional credentials of DMD. The NPI Number for Hae Duk Park is 1174607832 and holds a License No. 0401410598 (Virginia).

The current practice location address for Hae Duk Park is 8714 Sudley Rd, Manassas, VA and can be reached out via phone at 703-368-8166 and via fax at 703-368-8624.

Location: 8714 Sudley Rd, Manassas, VA, 20110-4405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174607832
Provider Name
Hae Duk Park
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
8714 Sudley Rd, Manassas, VA, 20110-4405
Phone Number
703-368-8166
Fax Number
703-368-8624
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0401410598 01 VA VA DENTAL LIC#
1745319 01 PA UNITED CONCORDIA INS.ID
178830 01 VA ANTHEM BCBS ID #
institution
Provider Business Practice Location Address Details
Address
8714 Sudley Rd
City
Manassas
State
Virginia
Zip
20110-4405
Phone Number
703-368-8166
Fax Number
703-368-8624
person
Provider Business Mailing Address Details
Address
8714 Sudley Rd
City
Manassas
State
Virginia
Zip
20110-4405
Phone Number
703-368-8166
Fax Number
703-368-8624
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401410598 (Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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