Park, Jae H

Park, Jae H is an individual health care provider with primary practice located at 3259 Catlin Ave , Quantico VA 22134-5109. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Park, Jae H can be contacted via phone (757) 953-9000.

Contact Information

Primary practice address
3259 Catlin Ave Quantico VA 22134-5109
Phone: (757) 953-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401416211 Virginia

Profile Details

NPI number 1386110781
LBN Legal business name Park, Jae H
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2018
Last updated Feb 28th, 2023 - about 2 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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