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Jae Park — NPI 1386110781, Quantico, VA | NPI Central

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NPI 1386110781

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Jae Park

NPI 1386110781 · Dentist · Quantico, VA

Provider details

NPI number: 1386110781
Entity type: Individual
Primary specialty: DentistDental Providers
Sex: Male
Sole proprietor: No
License: 0401416211 (VA)

Specialties & taxonomies

DentistPrimary122300000XLicense 0401416211 (VA)
Dental Providers

Practice location

3259 Catlin Ave

Quantico, VA 22134-5109

Phone: (757) 953-9000

Approximate (ZIP-level) locationGet directions

More VA providers

Mailing address

2701 Neabsco Common Pl Apt 519

Woodbridge, VA 22191-6717

Registry dates

Enumerated: 2018-10-23
Last updated: 2023-02-28
Certified: 2023-02-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.