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Organization
PUYALLUP PARK DENTAL
Active
Organization
PUYALLUP PARK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BYUNGJUN PARK DDS (OWNER)
(253) 435-0333
Entity
Organization
Contact information
Practice address
13909 MERIDIAN E STE A1, PUYALLUP, WA 98373-9180
(253) 435-0333
(253) 435-0362
Mailing address
13909 MERIDIAN E STE A1, PUYALLUP, WA 98373-9180
(253) 435-0333
(253) 435-0362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60048922
WA
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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