Park, Jay
Park, Jay is an sole proprietor health care provider with primary practice located at 1404 Lake Tapps Pkwy Se Ste A103 , Auburn WA 98092-8156. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Park, Jay can be contacted via phone (253) 341-4973.Contact Information
Primary practice address
1404 Lake Tapps Pkwy Se Ste A103
Auburn WA 98092-8156
Phone: (253) 341-4973
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE61164036 | Washington |
Profile Details
| NPI number | 1013581677 |
|---|---|
| LBN Legal business name | Park, Jay |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2021 |
| Last updated | May 18th, 2021 - about 5 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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