Individual provider · Type 1 NPI

Eunhyae Park, DDS

Pediatric Dentistry · Riverdale, MD

NPI number 1255787792 Active

Practice location

4595 Van Buren St
Riverdale, MD 20737-1080

Mailing address

15 Pitt Ct
Rockville, MD 20850

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist 122300000X16485 (MD)
Pediatric Dentistry Primary 1223P0221X16485 (MD)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1255787792

Eunhyae Park, DDS's National Provider Identifier is 1255787792, issued on May 13, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Riverdale, MD. The record was last updated on Mar 28, 2022.