Susan Ma Park DDS

NPI 1023203486 - Dentist - 122300000X

NPI Details
NPI 1023203486
Gender Female
Enumeration Date 09/10/2007
Last Updated 09/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1600 148TH AVE SE
BELLEVUE WA, 98007-6852, US
Phone (425) 747-3080
Fax
Business Location
9444 SE 52ND ST
MERCER ISLAND WA, 98040-4724, US
Phone (206) 883-6720
Fax
Toxanomy
Taxonomy Code 122300000X
License State Washington
License Number DE7538
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According to our database, Dr. Susan Ma Park DDS NPI is 1023203486, taxonomy code is 122300000X and license number is DE7538, license state is located at Washington. Susan Ma Park DDS physically located at 1600 148th Ave Se, Bellevue WA, 98007-6852. NPI Number Susan Ma Park DDS has the Individual type.

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1023203486 NPI number is provided on an as is basis without warranty of any kind. 1023203486 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Ma Park DDS are for informational purposes only.