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Hosan Park, D.D.S — NPI 1104363019, Kent, WA | NPI Central

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NPI 1104363019

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Hosan Park, D.D.S

NPI 1104363019 · Periodontics · Kent, WA

Provider details

NPI number: 1104363019
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: D.D.S
Sex: Male
Sole proprietor: No
License: 019.031420 (IL)

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense DE60722033 (WA)
Dental Providers
Periodontics1223P0300XLicense 019.031420 (IL)
Dental Providers

Practice location

25610 104th Ave Se

Kent, WA 98030-7610

Phone: (253) 850-9777

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

2144 9th Ave W

Seattle, WA 98119-2843

Additional practice locations (1)

9730 3rd Ave Ne Ste 205
Seattle, WA 98115-2023
Phone: (206) 367-6453

Registry dates

Enumerated: 2017-01-30
Last updated: 2018-04-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.