Park, Joseph

Park, Joseph is an sole proprietor health care provider with primary practice located at 2411 Williams Dr Ste 111 , Georgetown TX 78628-3268. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Park, Joseph can be contacted via phone (877) 800-5722.

Contact Information

Primary practice address
2411 Williams Dr Ste 111 Georgetown TX 78628-3268
Fax: (512) 864-1447
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE60056279 Washington
Dental Providers / General Practice 1223G0001X 28680 Texas

Profile Details

NPI number 1699916585
LBN Legal business name Park, Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2009
Last updated Apr 24th, 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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