Individual
DR. MAN KI SO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5412 KINGS PLZ, BROOKLYN, NY 11234-5217
(917) 442-2188
Mailing address
250 E 40TH ST, APT 38-B, NEW YORK, NY 10016-1721
(917) 442-2188
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
050421
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI02339100
NJ
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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