| Puyallup Park Dental | |
|
13909 Meridian E Ste A1 Puyallup WA 98373-9180 | |
| (253) 435-0333 | |
| (253) 435-0362 |
| Full Name | Puyallup Park Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13909 Meridian E Ste A1, Puyallup, Washington |
| Authorized Official Name and Position | Byungjun Park (OWNER) |
| Authorized Official Contact | 2534350333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puyallup Park Dental 13909 Meridian E Ste A1 Puyallup WA 98373-9180 Ph: (253) 435-0333 | Puyallup Park Dental 13909 Meridian E Ste A1 Puyallup WA 98373-9180 Ph: (253) 435-0333 |
| NPI Number | 1164919981 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 04/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164919981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60048922 (Washington) | Primary |
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