# ACCESS DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ACCESS DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114439452
- **Authorized official:** DR. YONG PARK DDS (DENTIST)
- **Authorized official phone:** (360) 878-8002

## Contact information

- **Practice address:** 2417 PACIFIC AVE SE STE A, OLYMPIA, WA 98501-2052
- **Practice address phone:** (360) 878-8002
- **Practice address fax:** (360) 878-8186
- **Mailing address:** 2417 PACIFIC AVE SE STE A, OLYMPIA, WA 98501-2052
- **Mailing address phone:** (360) 878-8002
- **Mailing address fax:** (360) 878-8186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2017
- **Last updated:** 10/26/2017