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Individual

DR. CHRISTOPHER JIN PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
16330 SE 256TH ST, COVINGTON, WA 98042-4233
(253) 246-7403
Mailing address
16330 SE 256TH ST, COVINGTON, WA 98042-4233
(253) 246-7403

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60229142
WA

Other

Enumeration date
06/23/2011
Last updated
07/07/2015
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