Park, Jihyun
Park, Jihyun is an individual health care provider with primary practice located at 469 Hawkins Ave , Lake Ronkokoma NY 11779. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Park, Jihyun can be contacted via phone (631) 588-8280.Contact Information
Primary practice address
469 Hawkins Ave
Lake Ronkokoma NY 11779
Phone: (631) 588-8280
Fax: (631) 588-1503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 0517461 | New York |
Profile Details
| NPI number | 1144332461 |
|---|---|
| LBN Legal business name | Park, Jihyun |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 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.
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