Park, Da Min

Park, Da Min is an individual health care provider with primary practice located at 339 Squire Rd # 150 , Revere MA 02151-4309. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Dentist is his primary health care specialty. Park, Da Min can be contacted via phone (781) 286-7510.

Contact Information

Primary practice address
339 Squire Rd # 150 Revere MA 02151-4309
Phone: (781) 286-7510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DR61069032 Washington
Dental Providers / Dentist 122300000X DN1859113 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Washington

Profile Details

NPI number 1982223574
LBN Legal business name Park, Da Min
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2020
Last updated Jul 27th, 2021 - about 4 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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