Susan Park Dds, Pllc
NPI #1609734086 in Bellevue, Washington
Provider Information
- NPI Number
- 1609734086
- Entity Type
- Organization
- Organization Name
- Susan Park Dds, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 13, 2026
- Last Updated
- Jan 13, 2026
Practice Location
- Address
- 1370 116TH AVE NE STE 104
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98004-3825
- Phone
- (425) 747-3080
Authorized Official
- Name
- SUSAN PARK
- Title
- MEMBER
- Phone
- (206) 883-6720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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