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1104305093
JASON PARK
LYNNWOOD, WA
NPI
1104305093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 60868937)
Enumeration Date
2018-08-10
Last Update Date
2018-08-10
Business Address
JASON PARK DDS
1418 164TH ST SW STE 100
LYNNWOOD, WA 98087-8500
Phone number: 425-742-8828
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Mailing Address
JASON PARK DDS
1418 164TH ST SW STE 100
LYNNWOOD, WA 98087-8500
Phone number:
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