Organization
EVERGREEN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT PARK DDS (OWNER DENTIST)
(360) 805-0211
Entity
Organization
Contact information
Practice address
17798 147TH ST SE, MONROE, WA 98272-1030
(360) 805-0211
Mailing address
17798 147TH ST SE, MONROE, WA 98272-1030
(360) 805-0211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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