# YOUNG B PARK, DDS, PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Young Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487979092
- **Authorized official:** YOUNG BAE PARK DDS (DENTIST/PRESIDENT)
- **Authorized official phone:** (425) 265-1188

## Contact information

- **Practice address:** 11120 EVERGREEN WAY, SUITE G, EVERETT, WA 98204
- **Practice address phone:** (425) 265-1188
- **Practice address fax:** (425) 265-1619
- **Mailing address:** 11120 EVERGREEN WAY, SUIT G, EVERETT, WA 98204
- **Mailing address phone:** (425) 265-1188
- **Mailing address fax:** (425) 265-1619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE7465 | WA | Yes |

## Other

- **Enumeration date:** 04/07/2010
- **Last updated:** 04/07/2010