Organization
BELLEVUE PARK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYUNGJUN PARK D.D.S (OWNER)
(425) 373-1605
Entity
Organization
Contact information
Practice address
1551 116TH AVE NE, SUITE #B1, BELLEVUE, WA 98004-3814
(425) 373-1605
(425) 373-1475
Mailing address
1551 116TH AVE NE, SUITE #B1, BELLEVUE, WA 98004-3814
(425) 373-1605
(425) 373-1475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60554985
WA
Other
Enumeration date
05/12/2015
Last updated
09/18/2015
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