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Mr. Daniel I Park, LD
Denturist in Federal Way, Washington
NPI 1598882029

Daniel I Park is a Denturist based in Federal Way, WA. Daniel I Park practices in Federal Way, WA and has the professional credentials of LD. The NPI Number for Daniel I Park is 1598882029 and holds a License No. DN000312 (Washington).

The current practice location address for Daniel I Park is 30816 Pacific Hwy S, Federal Way, WA and can be reached out via phone at 253-835-0055 and via fax at 253-835-0055.

Location: 30816 Pacific Hwy S, Federal Way, WA, 98023-5235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598882029
Provider Name
Daniel I Park
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
30816 Pacific Hwy S, Federal Way, WA, 98023-5235
Phone Number
253-835-0055
Fax Number
253-835-0055
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5039128 05 WA
institution
Provider Business Practice Location Address Details
Address
30816 Pacific Hwy S
City
Federal Way
State
Washington
Zip
98003-4902
Phone Number
253-835-0055
Fax Number
253-835-0055
person
Provider Business Mailing Address Details
Address
30816 Pacific Hwy S
City
Federal Way
State
Washington
Zip
98003-4902
Phone Number
253-835-0055
Fax Number
253-835-0055
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DN000312 (Washington)
Definition
Definition to come.
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