DR. Hosan Park, D.D.S

NPI #1104363019 in Kent, Washington

Provider Information

NPI Number: 1104363019
Entity Type: Individual
Name: DR. Hosan Park, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: D.D.S
Enumeration Date: Jan 30, 2017
Last Updated: Apr 14, 2018

Practice Location

Address: 25610 104TH AVE SE
City: Kent
State: Washington
ZIP Code: 98030-7610
Phone: (253) 850-9777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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