Park, Dongwoo
Park, Dongwoo is an individual health care provider with primary practice located at 1 Kneeland St , Boston MA 02111-1527. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Park, Dongwoo can be contacted via phone (617) 636-6556.Contact Information
Primary practice address
1 Kneeland St
Boston MA 02111-1527
Phone: (617) 636-6556
Fax: (617) 636-6583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 19033 | Massachusetts |
Profile Details
| NPI number | 1790848141 |
|---|---|
| LBN Legal business name | Park, Dongwoo |
| Credentials | DDS DMD MSD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Dec 6th, 2015 - about 9 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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