Park, Derek

Park, Derek is an sole proprietor health care provider with primary practice located at 581 Foster City Blvd , Foster City CA 94404-1695. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Park, Derek can be contacted via phone (650) 286-9999.

Contact Information

Primary practice address
581 Foster City Blvd Foster City CA 94404-1695
Phone: (650) 286-9999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 59748 California

Profile Details

NPI number 1770826406
LBN Legal business name Park, Derek
Credentials M.D., D.D.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2013
Last updated Jan 3rd, 2022 - 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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