Park, Justyn
Park, Justyn is an sole proprietor health care provider with primary practice located at 6522 Lonetree Blvd , Rocklin CA 95765-5874. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Park, Justyn can be contacted via phone (916) 773-6565.Contact Information
Primary practice address
6522 Lonetree Blvd
Rocklin CA 95765-5874
Phone: (916) 773-6565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DDS106782 | California |
Profile Details
| NPI number | 1053193524 |
|---|---|
| LBN Legal business name | Park, Justyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2023 |
| Last updated | Oct 18th, 2023 - about last year |
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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