Dr. Hosan Park
Periodontist
25610 104th Ave Se
Kent
, Washington 98030-7610
Dr. Hosan Park
Periodontist
25610 104th Ave Se
Kent
, Washington 98030-7610
(917) 226-7669
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Hosan Park
- 2144 9th Ave W
- Seattle, WA
- Zip : 98119-2843
- Phone : (917) 226-7669
Second Address
- Dr. Hosan Park
- 25610 104th Ave Se
- Kent, WA
- Zip : 98030-7610
- Phone : (253) 850-9777
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0300X | Periodontist | 019.031420 | IL |
| Y | 1223P0300X | Periodontist | DE60722033 | WA |
National Provider Identifier
| NPI | 1104363019 |
|---|---|
| Provider Name | Dr. Hosan Park |
| First Address | Seattle, WA 98119-2843 |
| Second Address | Kent, WA 98030-7610 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2017 |
| Last Update Date | 14/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.