Park, Seong Jin
Park, Seong Jin is an sole proprietor health care provider with primary practice located at 6958 Nebraska Ave Bldg 1608 , Fort Leonard Wood MO 65473-1618. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Park, Seong Jin can be contacted via phone (573) 596-0408.Contact Information
Primary practice address
6958 Nebraska Ave Bldg 1608
Fort Leonard Wood MO 65473-1618
Phone: (573) 596-0408
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X |
Profile Details
| NPI number | 1629682943 |
|---|---|
| LBN Legal business name | Park, Seong Jin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2020 |
| Last updated | Sep 3rd, 2020 - about 5 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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