| NPI | 1104150473 |
|---|---|
| Doing Business As | NORTHWEST DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HYUN S PARK President 253-815-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE7278) |
| Enumeration Date | 2009-09-19 |
| Last Update Date | 2009-09-19 |