Park, Heather Hana

Park, Heather Hana is an individual health care provider with primary practice located at 78595 Highway 111 Ste 300 , La Quinta CA 92253-2084. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Park, Heather Hana can be contacted via phone (760) 771-0300.

Contact Information

Primary practice address
78595 Highway 111 Ste 300 La Quinta CA 92253-2084
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 104291 California

Profile Details

NPI number 1053967794
LBN Legal business name Park, Heather Hana
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2019
Last updated Aug 16th, 2019 - about 6 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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