Park, John Woongjoon

Park, John Woongjoon is an individual health care provider with primary practice located at 3866 S 74Th St Ste 200 , Tacoma WA 98409-9908. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Park, John Woongjoon can be contacted via phone (855) 433-6825.

Contact Information

Primary practice address
3866 S 74Th St Ste 200 Tacoma WA 98409-9908
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X D-4283-PE Idaho
Dental Providers / Periodontics 1223P0300X DE00011114 Washington

Profile Details

NPI number 1265760474
LBN Legal business name Park, John Woongjoon
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2009
Last updated Apr 15th, 2020 - about 4 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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