Xiong, Park

Xiong, Park is an individual health care provider with primary practice located at 636 Broadway St Ne , Minneapolis MN 55413-2164. He recently has only one registered license in Dental Providers / Dental Therapist, which is considered as his primary health care specialty. Xiong, Park can be contacted via phone (612) 746-1530.

Contact Information

Primary practice address
636 Broadway St Ne Minneapolis MN 55413-2164
Phone: (612) 746-1530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Therapist 125J00000X DT135 Minnesota

Profile Details

NPI number 1477145449
LBN Legal business name Xiong, Park
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2021
Last updated Feb 10th, 2021 - about 3 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.

Request for update

Popular Providers