Search › Washington › 1223G0001X
Jay Park, DMD
NPI 1013581677 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1404 Lake Tapps Pkwy Se Ste A103
Auburn, WA 98092 - Phone
- (253) 341-4973
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington