Organization
PARK AND DENTAL ASSOCIATES, LLC
Active
Other names
Newport Dental
Organization subpart
No
Provider details
NPI number
Authorized official
YONG K PARK (DDS)
(425) 641-5303
Entity
Organization
Contact information
Practice address
12826 SE 40TH LN STE 201, BELLEVUE, WA 98006-4276
(425) 641-5303
Mailing address
12826 SE 40TH LN STE 201, BELLEVUE, WA 98006-4276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE0009186
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5055389
—
WA
Enumeration date
03/19/2010
Last updated
03/19/2010
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