Derek Park, DDS
NPI #1700778172 in Monroe, Washington
Provider Information
- NPI Number
- 1700778172
- Entity Type
- Individual
- Name
- Derek Park, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 18, 2025
- Last Updated
- Jul 18, 2025
Practice Location
- Address
- 623 W MAIN ST
- City
- Monroe
- State
- Washington
- ZIP Code
- 98272-2101
- Phone
- (360) 805-9060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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