NPI 1104150473

Hyun S. Park DDS, Ps

Organisation Dentist Federal Way, WA

Practice location

Address: 1717 S 324th St STE a, Federal Way, WA 98003-8500
Phone: (253) 815-0093

Authorised official

Name: Hyun S Park
Title: President
Phone: (253) 815-0093

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DE7278 (WA)

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Registry record

NPI: 1104150473
Entity type: Organization
NPI issued: 19 Sep 2009
Record last updated: 19 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.