Park, Ian Anthony
Park, Ian Anthony is an individual health care provider with primary practice located at 17705 Hutchins Dr Suite 209, Minnetonka MN 55345-4145. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Park, Ian Anthony can be contacted via phone (925) 474-8114.Contact Information
Primary practice address
17705 Hutchins Dr Suite 209
Minnetonka MN 55345-4145
Phone: (925) 474-8114
Fax: (952) 474-5195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9986 | Minnesota |
Profile Details
| NPI number | 1861494791 |
|---|---|
| LBN Legal business name | Park, Ian Anthony |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| 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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