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
Phone: (877) 800-5722
Fax: (512) 864-1447
Website:
Health care specialties
| Specialty | Code | License # | 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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