Organization · Type 2 NPI
Sun Park DDS PC
Dental Clinic/Center · Herndon, VA
NPI number
1699041897
Active
Practice location
102 Elden St Ste 17
Herndon, VA 20170-4827
Fax (703) 485-8098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 0401412056 (VA) |
Dental Clinic/Center: Definition to come...
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About NPI 1699041897
Sun Park DDS PC's National Provider Identifier is 1699041897, issued on Apr 2, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Herndon, VA. The record was last updated on Apr 2, 2012.