Individual
TRACEY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
702 S HILL PARK DR STE 201, PUYALLUP, WA 98373-1426
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60879733
WA
Other
Enumeration date
08/14/2018
Last updated
11/07/2023
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