IndividualActive
Christopher Park, D.D.S.
NPI 1013203405 · Dentist · Covington, WA
Provider details
- NPI number
- 1013203405
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- DE60229142 (WA)
Specialties & taxonomies
Dental Providers
Practice location
16330 Se 256th St
Covington, WA 98042-4233
Phone: (253) 246-7403
Approximate (ZIP-level) locationGet directions
Mailing address
16330 Se 256th St
Covington, WA 98042-4233
Registry dates
- Enumerated
- 2011-06-23
- Last updated
- 2015-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.