Park, Yong Jun David
Park, Yong Jun David is an sole proprietor health care provider with primary practice located at 12777 Valley View St Ste 121 , Garden Grove CA 92845-2521. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Park, Yong Jun David can be contacted via phone (714) 897-3543.Contact Information
Primary practice address
12777 Valley View St Ste 121
Garden Grove CA 92845-2521
Phone: (714) 897-3543
Fax: (714) 897-0505
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 52768 | California |
Profile Details
NPI number | 1215114301 |
---|---|
LBN Legal business name | Park, Yong Jun David |
Credentials | DDS MD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 30th, 2008 |
Last updated | Sep 25th, 2019 - 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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