Organization
UNIVERSITY PLACE SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YONG K PARK DDS (OWNER/DENTIST)
(253) 212-3430
Entity
Organization
Contact information
Practice address
3670 BRIDGEPORT WAY W, UNIT B, UNIVERSITY PLACE, WA 98466-4413
(253) 212-3430
(253) 212-3288
Mailing address
3670 BRIDGEPORT WAY W, UNIT B, UNIVERSITY PLACE, WA 98466-4413
(253) 212-3430
(253) 212-3288
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE0009186
WA
Other
Enumeration date
05/17/2013
Last updated
09/07/2016
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