Park, Jonathan
Park, Jonathan is an individual health care provider with primary practice located at 7890 E Florentine Rd , Prescott Valley AZ 86314-1204. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Park, Jonathan can be contacted via phone (928) 770-5721.Contact Information
Primary practice address
7890 E Florentine Rd
Prescott Valley AZ 86314-1204
Phone: (928) 770-5721
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D010097 | Arizona |
Profile Details
| NPI number | 1023504297 |
|---|---|
| LBN Legal business name | Park, Jonathan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2018 |
| Last updated | Jul 10th, 2018 - 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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