Park, Paul

Park, Paul is an individual health care provider with primary practice located at 72724 29 Palms Hwy Ste 102 , Twentynine Palms CA 92277-2459. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Park, Paul can be contacted via phone (760) 367-9531.

Contact Information

Primary practice address
72724 29 Palms Hwy Ste 102 Twentynine Palms CA 92277-2459
Phone: (760) 367-9531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 64589 California

Profile Details

NPI number 1215311832
LBN Legal business name Park, Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2015
Last updated Jul 14th, 2015 - about 10 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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