Park, Eric Song Joon
Park, Eric Song Joon is an sole proprietor health care provider with primary practice located at 2180 Lake Tahoe Blvd , South Lake Tahoe CA 96150-6418. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Park, Eric Song Joon can be contacted via phone (530) 541-3893.Contact Information
Primary practice address
2180 Lake Tahoe Blvd
South Lake Tahoe CA 96150-6418
Phone: (530) 541-3893
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 48533 | California |
| Dental Providers / General Practice | 1223G0001X | 4852 | Nevada |
Profile Details
| NPI number | 1356560916 |
|---|---|
| LBN Legal business name | Park, Eric Song Joon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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