# BELLEVUE PARK DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568840429
- **Authorized official:** DR. BYUNGJUN PARK D.D.S (OWNER)
- **Authorized official phone:** (425) 373-1605

## Contact information

- **Practice address:** 1551 116TH AVE NE, SUITE \#B1, BELLEVUE, WA 98004-3814
- **Practice address phone:** (425) 373-1605
- **Practice address fax:** (425) 373-1475
- **Mailing address:** 1551 116TH AVE NE, SUITE \#B1, BELLEVUE, WA 98004-3814
- **Mailing address phone:** (425) 373-1605
- **Mailing address fax:** (425) 373-1475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60554985 | WA | Yes |

## Other

- **Enumeration date:** 05/12/2015
- **Last updated:** 09/18/2015