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:
Health care specialties
| Specialty | Code | License # | 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 9 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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