Park, Tom S.

Park, Tom S. is an sole proprietor health care provider with primary practice located at 105 N Jackson Ave #102, San Jose CA 95116-1913. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Park, Tom S. can be contacted via phone (408) 618-8112.

Contact Information

Primary practice address
105 N Jackson Ave #102 San Jose CA 95116-1913
Phone: (408) 618-8112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 40385 California

Profile Details

NPI number 1891961348
LBN Legal business name Park, Tom S.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2008
Last updated Jan 20th, 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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