Individual
YONG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3670 BRIDGEPORT WAY W, UNIT B, UNIVERSITY PLACE, WA 98466-4413
(253) 212-3430
(253) 212-3288
Mailing address
3670 BRIDGEPORT WAY W, UNIT B, UNIVERSITY PLACE, WA 98466-4413
(253) 212-3430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE0009186
WA
Other
Enumeration date
01/24/2007
Last updated
08/10/2016
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