# PARK AND DENTAL ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1801110861
- **Authorized official:** YONG K PARK (DDS)
- **Authorized official phone:** (425) 641-5303

## Contact information

- **Practice address:** 12826 SE 40TH LN STE 201, BELLEVUE, WA 98006-4276
- **Practice address phone:** (425) 641-5303
- **Mailing address:** 12826 SE 40TH LN STE 201, BELLEVUE, WA 98006-4276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE0009186 | WA | Yes |

## Other

- **Enumeration date:** 03/19/2010
- **Last updated:** 03/19/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5055389 | — | WA |