Seoung Hyon Park, Denturist
Denturist in Lakewood, WA. Individual provider (NPI-1).
NPI number1447469747
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1447469747
- Entity type
- Individual (NPI-1)
- Name
- Seoung Hyon Park
- Credential
- Denturist
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122400000X | Denturist | DN00000133 | WA | Yes |
Practice location
8717 South Tacoma WayLakewood, WA 98499
Phone 253-588-9951 · Fax 253-588-9951
Mailing address
8717 South Tacoma WayLakewood, WA 98499
Phone 253-588-9951 · Fax 253-588-9951
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Denturist providers in Lakewood, WA
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