Search › Washington › 122300000X
Jake Park, DDS
NPI 1427203868 · on the registry since 2008 · sole proprietor
Practice
- Address
- 12832 Se 40th Ln
Ste 201
Bellevue, WA 98006 - Phone
- (425) 636-8432
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- CA, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-04
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