Pak, Jin Woo
Pak, Jin Woo is an individual health care provider with primary practice located at 171 Inner Loop Road , Fort Irwin CA 92310. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pak, Jin Woo can be contacted via phone (760) 380-3166.Contact Information
Primary practice address
171 Inner Loop Road
Fort Irwin CA 92310
Phone: (760) 380-3166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9829781-9921 | Utah |
Profile Details
| NPI number | 1508311457 |
|---|---|
| LBN Legal business name | Pak, Jin Woo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2016 |
| Last updated | Jun 29th, 2023 - 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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