Individual
JOHN WOONGJOON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3866 S 74TH ST STE 200, TACOMA, WA 98409-9908
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
D-4283-PE
ID
1223P0300X
Periodontics
Primary
DE00011114
WA
Other
Enumeration date
11/28/2009
Last updated
04/15/2020
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