# HYUN S. PARK DDS, PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104150473
- **Authorized official:** DR. HYUN S PARK DDS (PRESIDENT)
- **Authorized official phone:** (253) 815-0093

## Contact information

- **Practice address:** 1717 S 324TH ST STE A, FEDERAL WAY, WA 98003-8500
- **Practice address phone:** (253) 815-0093
- **Mailing address:** 1717 S 324TH ST STE A, FEDERAL WAY, WA 98003-8500
- **Mailing address phone:** (253) 815-0093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE7278 | WA | Yes |

## Other

- **Enumeration date:** 09/19/2009
- **Last updated:** 09/19/2009