Tina Mieun Park-Lee in Loma Linda - Dentist
Tina Mieun Park-Lee - NPI 1003037813
Tina Mieun Park-Lee is a Dentist in Loma Linda, California. Tina Mieun Park-Lee practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tina Mieun Park-Lee is 1003037813. The last update date is 2013-09-12.
Tina Mieun Park-Lee's current location address is 26554 Amherst Ct, Loma Linda, California. You can contact this provider via phone number 9097698077. The mailing address for Tina Mieun Park-Lee is 26554 Amherst Ct, Loma Linda, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tina Mieun Park-Lee |
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Address | 26554 Amherst Ct, Loma Linda, California |
Phone Number | 9097698077 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1003037813 |
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Provider Enumeration Date | 2007-05-01 |
Last Updated Date | 2013-09-12 |
Provider Mailing Address Detail
Address | 26554 Amherst Ct |
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City | Loma Linda |
State | California (CA) |
Post Code | 923546732 |
Phone Number | 9097698077 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 40976 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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C3701431 | CA | DRIVER LISCENCE |
Post Comment/ Review Below
What is the unique identifier code issued to Tina Mieun Park-Lee by the Centers for Medicare & Medicaid Services (CMS)?
The Tina Mieun Park-Lee has been assigned the NPI (National Provider Identifier) 1003037813. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Tina Mieun Park-Lee is located?
The Tina Mieun Park-Lee is situated at the following address: 26554 Amherst Ct, Loma Linda, CA, 923546732.
What is the Tina Mieun Park-Lee's specialty and taxonomy code?
The Tina Mieun Park-Lee's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date was the 1003037813 assigned to Tina Mieun Park-Lee?
The Tina Mieun Park-Lee was issued its 1003037813 on 2007-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tina Mieun Park-Lee most recently updated?
The details pertaining to the Tina Mieun Park-Lee, including its address, specialty, and other relevant information, were last refreshed on 2013-09-12.