Park, Sally

Park, Sally is an sole proprietor health care provider with primary practice located at 1500 Alps Rd , Wayne NJ 07470-3635. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Park, Sally can be contacted via phone (973) 696-5220.

Contact Information

Primary practice address
1500 Alps Rd Wayne NJ 07470-3635
Phone: (973) 696-5220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 22D102133200 New Jersey

Profile Details

NPI number 1417145160
LBN Legal business name Park, Sally
Credentials D.D.S., M.S.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 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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