Park, Susan
Park, Susan is an sole proprietor health care provider with primary practice located at 709 N Main St , North Syracuse NY 13212-1669. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Park, Susan can be contacted via phone (315) 452-5915.Contact Information
Primary practice address
709 N Main St
North Syracuse NY 13212-1669
Phone: (315) 452-5915
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 048609-1 | New York |
Profile Details
NPI number | 1821147190 |
---|---|
LBN Legal business name | Park, Susan |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 9th, 2007 |
Last updated | Aug 24th, 2010 - about 14 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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