DEREK PARK

MONROE, WA
NPI1700778172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  61691554)
Enumeration Date2025-07-18
Last Update Date2025-07-18
Business Address
DEREK PARK DDS
623 W MAIN ST
MONROE, WA 98272-2101
Phone number: 360-805-9060
Mailing Address
DEREK PARK DDS
12115 19TH AVE SE APT H303
EVERETT, WA 98208-6277
Phone number: 425-207-6827