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Individual

CHRISTINE JUNGWON PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1959 NE PACIFIC ST, BOX 357134; HSB RM B241, SEATTLE, WA 98195-0001
(206) 543-7496
Mailing address
1959 NE PACIFIC ST, BOX 357134; HSB RM B241, SEATTLE, WA 98195-0001

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DR60230143
WA

Other

Enumeration date
04/19/2011
Last updated
08/02/2011
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