Park, Daniel I
Park, Daniel I is an individual health care provider with primary practice located at 30816 Pacific Hwy S , Federal Way WA 98003-4902. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Park, Daniel I can be contacted via phone (253) 835-0055.Contact Information
Primary practice address
30816 Pacific Hwy S
Federal Way WA 98003-4902
Phone: (253) 835-0055
Fax: (253) 835-0055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | DN000312 | Washington |
Profile Details
| NPI number | 1598882029 |
|---|---|
| LBN Legal business name | Park, Daniel I |
| Credentials | L.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598882029 | NPPES |
| Washington | MEDICAID | 5039128 |
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