Park, Eunhyae

Park, Eunhyae is an individual health care provider with primary practice located at 4595 Van Buren St , Riverdale MD 20737-1080. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Park, Eunhyae can be contacted via phone (301) 641-2081.

Contact Information

Primary practice address
4595 Van Buren St Riverdale MD 20737-1080
Phone: (301) 641-2081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 16485 Maryland
Dental Providers / Pediatric Dentistry 1223P0221X 16485 Maryland

Profile Details

NPI number 1255787792
LBN Legal business name Park, Eunhyae
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2016
Last updated Mar 28th, 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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