Organization
LYNNWOOD DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONG PARK (DENTIST)
(425) 412-3113
Entity
Organization
Contact information
Practice address
18623 HIGHWAY 99 STE 210, LYNNWOOD, WA 98037-4552
(425) 412-3113
Mailing address
18623 HIGHWAY 99 STE 210, LYNNWOOD, WA 98037-4552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE0009186
WA
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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