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Individual
SOHYUN PARK
Active
Individual
SOHYUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DDS102257
CA
1223P0300X
Periodontics
DS040069
PA
Other
Enumeration date
09/28/2011
Last updated
11/25/2018
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