NPI 1093134488

John J. Park

Practitioner Dentist District Heights, MD

Practice location

Address: 5805 Silver Hill Rd STE G, District Heights, MD 20747-1171
Phone: (301) 568-8444
Fax: (301) 568-8447

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 15579 (MD)

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Registry record

NPI: 1093134488
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2014
Record last updated: 14 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.