Individual
PHILIP HYUN SON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4320 OSAGE BEACH PKWY, OSAGE BEACH, MO 65065-2199
(323) 787-9397
Mailing address
4320 OSAGE BEACH PKWY, OSAGE BEACH, MO 65065-2199
(573) 348-1466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2021022285
NV
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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