Park, Raymond B
Park, Raymond B is an individual health care provider with primary practice located at 3105 Alderwood Mall Blvd Ste 117 , Lynnwood WA 98036-4745. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Park, Raymond B can be contacted via phone (425) 284-9886.Contact Information
Primary practice address
3105 Alderwood Mall Blvd Ste 117
Lynnwood WA 98036-4745
Phone: (425) 284-9886
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DE60467195 | Washington |
Profile Details
| NPI number | 1548521248 |
|---|---|
| LBN Legal business name | Park, Raymond B |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2012 |
| Last updated | Apr 26th, 2018 - about 7 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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