Organization
EVERGREEN FAMILY DENTISTRY BELLEVUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT PARK DDS (OWNER DENTIST)
(425) 643-6072
Entity
Organization
Contact information
Practice address
15615 BEL RED RD STE D, BELLEVUE, WA 98008-2300
(425) 643-6072
Mailing address
15615 BEL RED RD STE D, BELLEVUE, WA 98008-2300
(425) 643-6072
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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