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1407200694
TINA KEUN NAN PARK
SEATTLE, WA
NPI
1407200694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 63253)
Enumeration Date
2016-04-14
Last Update Date
2024-11-19
Business Address
TINA KEUN NAN PARK D.D.S., M.S.
11011 MERIDIAN AVE N STE 104
SEATTLE, WA 98133-8967
Phone number: 855-433-6825
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Mailing Address
TINA KEUN NAN PARK D.D.S., M.S.
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 855-433-6825
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