| NPI | 1164919981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYUNGJUN PARK Owner 253-435-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60048922) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |