| NPI | 1780020677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONG K PARK Owner/Dentist 253-212-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA DE0009186) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2016-09-07 |