Jason Park, DDS
NPI #1104305093 in Lynnwood, Washington
Provider Information
- NPI Number
- 1104305093
- Entity Type
- Individual
- Name
- Jason Park, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 10, 2018
- Last Updated
- Aug 10, 2018
Practice Location
- Address
- 1418 164TH ST SW STE 100
- City
- Lynnwood
- State
- Washington
- ZIP Code
- 98087-8500
- Phone
- (425) 742-8828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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