Park-Lee, Tina Mieun

Park-Lee, Tina Mieun is an individual health care provider with primary practice located at 26554 Amherst Ct , Loma Linda CA 92354-6732. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Park-Lee, Tina Mieun can be contacted via phone (909) 769-8077.

Contact Information

Primary practice address
26554 Amherst Ct Loma Linda CA 92354-6732
Phone: (909) 769-8077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 40976 California

Profile Details

NPI number 1003037813
LBN Legal business name Park-Lee, Tina Mieun
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Sep 12th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003037813 NPPES
California Other C3701431 DRIVER LISCENCE

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