Whalio Doctors

NPI 1134139397

Sun Kun Park, DMD

Practitioner Dentist Odenton, MD

Practice location

Address
1223 Annapolis Rd STE a, Odenton, MD 21113-1328
Phone
(410) 674-7400
Fax
(410) 674-7674

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 13052 (MD)

Registry record

NPI
1134139397
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Aug 2006
Record last updated
11 Feb 2020

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.