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1013581677
JAY PARK
AUBURN, WA
NPI
1013581677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE61164036)
Enumeration Date
2021-05-18
Last Update Date
2021-05-18
Business Address
JAY PARK DMD
1404 LAKE TAPPS PKWY SE STE A103
AUBURN, WA 98092-8156
Phone number: 253-341-4973
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Mailing Address
JAY PARK DMD
12319 41ST STREET CT E
EDGEWOOD, WA 98372-7801
Phone number: 931-494-6959
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