Individual
CLARA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3866 S 74TH ST STE 200, TACOMA, WA 98409-9908
(855) 433-6825
Mailing address
PO BOX 1203, COSMOPOLIS, WA 98537-1203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE70020065
WA
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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