Park, Kony
Park, Kony is an individual health care provider with primary practice located at 4913 Moreland Dr Ste 103 , Georgetown TX 78633-5509. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Park, Kony can be contacted via phone (512) 275-4222.Contact Information
Primary practice address
4913 Moreland Dr Ste 103
Georgetown TX 78633-5509
Phone: (512) 275-4222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 36695 | Texas |
Profile Details
| NPI number | 1730433830 |
|---|---|
| LBN Legal business name | Park, Kony |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2012 |
| Last updated | Jan 16th, 2024 - about 10 months 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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