Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HOSAN PARK, D.D.S
ActiveDR. HOSAN PARK, D.D.S is a Periodontology healthcare provider located in KENT, Washington. NPI 1104363019 is currently active in the NPPES registry. Verify at CMS.
Periodontology · KENT, WA
Registration Details
- NPI Number
- 1104363019
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2017 (9.4952598900326 yrs)
- Last Updated
- Apr 14, 2018
- Licenses
-
019.031420 (IL)DE60722033 (WA)
Practice Information
- Address
-
25610 104TH AVE SEKENT, WA, 980307610Browse WA providers · Browse ZIP 98030
- Phone
- 2538509777
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in KENT, WA
| Name | Credential | NPI |
|---|---|---|
| DR. JEN-TAI JEREMY CHEN | DDS, MS | 1689617896 |
| THOMAS FABER | — | 1376607465 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.