Puyallup Park Dental
NPI #1164919981 in Puyallup, Washington
Provider Information
- NPI Number
- 1164919981
- Entity Type
- Organization
- Organization Name
- Puyallup Park Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 17, 2018
- Last Updated
- Apr 17, 2018
Practice Location
- Address
- 13909 MERIDIAN E STE A1
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98373-9180
- Phone
- (253) 435-0333
Authorized Official
- Name
- BYUNGJUN PARK, DDS
- Title
- OWNER
- Phone
- (253) 435-0333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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