Park, Etern S

Park, Etern S is an individual health care provider with primary practice located at 501 West 14Th Street Suite 2W44, Wilmington Hospital, Wilmington DE 19801-2200. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Park, Etern S can be contacted via phone (302) 320-5730.

Contact Information

Primary practice address
501 West 14Th Street Suite 2W44, Wilmington Hospital Wilmington DE 19801-2200
Phone: (302) 320-5730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X C1-0011804 Delaware
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X G3-0000458 Delaware
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 269333 New York
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 053210 New York

Profile Details

NPI number 1124289905
LBN Legal business name Park, Etern S
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2008
Last updated Dec 10th, 2018 - about 7 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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