Park, Gene

Park, Gene is an individual health care provider with primary practice located at 16100 Sand Canyon Ave Ste 320 , Irvine CA 92618-3718. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Park, Gene can be contacted via phone (559) 970-2177.

Contact Information

Primary practice address
16100 Sand Canyon Ave Ste 320 Irvine CA 92618-3718
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DDS108692 California

Profile Details

NPI number 1205458767
LBN Legal business name Park, Gene
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2020
Last updated Oct 11th, 2023 - about last year

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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