# SOUTHWOOD FAMILY DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770012726
- **Authorized official:** DR. JUNGHWAN SOH DDS (PRESIDENT)
- **Authorized official phone:** (516) 483-9488

## Contact information

- **Practice address:** 50 CLINTON ST STE 100, HEMPSTEAD, NY 11550-4201
- **Practice address phone:** (516) 483-9488
- **Practice address fax:** (516) 489-4853
- **Mailing address:** 50 CLINTON ST STE 100, HEMPSTEAD, NY 11550-4201
- **Mailing address phone:** (516) 483-9488
- **Mailing address fax:** (516) 489-4853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 052909 | NY | Yes |

## Other

- **Enumeration date:** 06/05/2017
- **Last updated:** 07/21/2022