Individual
TINA KEUN NAN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
11011 MERIDIAN AVE N STE 104, SEATTLE, WA 98133-8967
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
63253
CA
Other
Enumeration date
04/14/2016
Last updated
11/19/2024
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