Individual
DR. JAKE YONG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12832 SE 40TH LN, STE 201, BELLEVUE, WA 98006-1241
(425) 636-8432
Mailing address
18707 SE NEWPORT WAY, ISSAQUAH, WA 98027-9087
(206) 747-4446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
56979
CA
122300000X
Dentist
Primary
DE 00011037
WA
Other
Enumeration date
11/26/2008
Last updated
08/04/2014
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