Park, John Woongjoon
Park, John Woongjoon is an individual health care provider with primary practice located at 3866 S 74Th St Ste 200 , Tacoma WA 98409-9908. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Park, John Woongjoon can be contacted via phone (855) 433-6825.Contact Information
Primary practice address
3866 S 74Th St Ste 200
Tacoma WA 98409-9908
Phone: (855) 433-6825
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | D-4283-PE | Idaho |
| Dental Providers / Periodontics | 1223P0300X | DE00011114 | Washington |
Profile Details
| NPI number | 1265760474 |
|---|---|
| LBN Legal business name | Park, John Woongjoon |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2009 |
| Last updated | Apr 15th, 2020 - about 6 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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