Individual
DENNIS J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1310 N GRANT ST, KENNEWICK, WA 99336-1355
(509) 783-7275
Mailing address
1310 N GRANT ST, KENNEWICK, WA 99336-1355
(509) 783-7275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005469
WA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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