Park, John Juwon

Park, John Juwon is an individual health care provider with primary practice located at 4 Executive Park Dr , Albany NY 12203. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Park, John Juwon can be contacted via phone (347) 408-8673.

Contact Information

Primary practice address
4 Executive Park Dr Albany NY 12203
Phone: (347) 408-8673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 056491 New York

Profile Details

NPI number 1083866982
LBN Legal business name Park, John Juwon
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2008
Last updated May 17th, 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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