Individual provider · Type 1 NPI

Hosan Park, D.D.S

Periodontics · Kent, WA

NPI number 1104363019 Active

Practice location

25610 104th Ave SE
Kent, WA 98030-7610

Mailing address

2144 9th Ave W
Seattle, WA 98119-2843

Other practice locations

  • 9730 3rd Ave NE Ste 205, Seattle, WA 98115-2023 · (206) 367-6453

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300X019.031420 (IL)
Periodontics Primary 1223P0300XDE60722033 (WA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

7 other providers at this address

Other periodontics providers in Kent

See all in Kent →

About NPI 1104363019

Hosan Park, D.D.S's National Provider Identifier is 1104363019, issued on Jan 30, 2017. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Kent, WA. The record was last updated on Apr 14, 2018.