| Byungjun Park, Dds, Pllc | |
|
1551 116th Ave Ne Suite B-1 Bellevue WA 98004-3814 | |
| (425) 373-1605 | |
| Not Available |
| Full Name | Byungjun Park, Dds, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1551 116th Ave Ne, Bellevue, Washington |
| Authorized Official Name and Position | Byungjun Park (MEMBER) |
| Authorized Official Contact | 4253731605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Byungjun Park, Dds, Pllc 1551 116th Ave Ne Suite B-1 Bellevue WA 98004-3814 Ph: (425) 373-1605 | Byungjun Park, Dds, Pllc 1551 116th Ave Ne Suite B-1 Bellevue WA 98004-3814 Ph: (425) 373-1605 |
| NPI Number | 1588900419 |
|---|---|
| Provider Enumeration Date | 12/20/2012 |
| Last Update Date | 12/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588900419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60048922 (Washington) | Primary |
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