| Northwest Dentistry | |
|
1717 S 324th St Ste A Federal Way WA 98003-8500 | |
| (253) 815-0093 | |
| Not Available |
| Full Name | Northwest Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1717 S 324th St Ste A, Federal Way, Washington |
| Authorized Official Name and Position | Hyun S Park (PRESIDENT) |
| Authorized Official Contact | 2538150093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Dentistry 1717 S 324th St Ste A Federal Way WA 98003-8500 Ph: (253) 815-0093 | Northwest Dentistry 1717 S 324th St Ste A Federal Way WA 98003-8500 Ph: (253) 815-0093 |
| NPI Number | 1104150473 |
|---|---|
| Provider Enumeration Date | 09/19/2009 |
| Last Update Date | 09/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104150473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE7278 (Washington) | Primary |
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