Individual
SHIRLEY SOEUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3475 N SARATOGA ST, OAK HARBOR, WA 98278-0001
(360) 257-2302
Mailing address
3057 NW 63RD ST, SEATTLE, WA 98107-2566
(206) 683-7111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61309904
WA
Other
Enumeration date
06/22/2022
Last updated
07/13/2023
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