Park, Wonpyo Eric

Park, Wonpyo Eric is an sole proprietor health care provider with primary practice located at 11851 South St , Cerritos CA 90703-6825. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Park, Wonpyo Eric can be contacted via phone (562) 809-8911.

Contact Information

Primary practice address
11851 South St Cerritos CA 90703-6825
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE00010771 Washington
Dental Providers / General Practice 1223G0001X 4956T Nevada
Dental Providers / Dentist 122300000X 56613 California

Profile Details

NPI number 1033257233
LBN Legal business name Park, Wonpyo Eric
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jun 10th, 2021 - about 4 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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