Organization
FEDERAL WAY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YONG K PARK DDS (OWNER)
(253) 839-8106
Entity
Organization
Contact information
Practice address
2016 S 320TH ST, SUITE F, FEDERAL WAY, WA 98003-5453
(253) 839-8106
(253) 941-7989
Mailing address
2016 S 320TH ST, SUITE F, FEDERAL WAY, WA 98003-5453
(253) 839-8106
(253) 941-7989
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DE00009186
WA
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
Update your record
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