An, Bongmin
An, Bongmin is an sole proprietor health care provider with primary practice located at 1748 S Triviz Dr , Las Cruces NM 88001-5103. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. An, Bongmin can be contacted via phone (575) 522-1983.Contact Information
Primary practice address
1748 S Triviz Dr
Las Cruces NM 88001-5103
Phone: (575) 522-1983
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD5580 | New Mexico |
Profile Details
| NPI number | 1497960561 |
|---|---|
| LBN Legal business name | An, Bongmin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2007 |
| Last updated | Jul 19th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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