Park, Ji Yeon

Park, Ji Yeon is an individual health care provider with primary practice located at 1702 Miramonte Ave Ste B , Mountain View CA 94040-3773. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Park, Ji Yeon can be contacted via phone (650) 282-5555.

Contact Information

Primary practice address
1702 Miramonte Ave Ste B Mountain View CA 94040-3773
Phone: (650) 282-5555
Fax: (650) 282-5051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 56024 California

Profile Details

NPI number 1205193653
LBN Legal business name Park, Ji Yeon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2012
Last updated Apr 23rd, 2012 - about 14 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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