Individual
MRS. SOONJIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10643 PROFESSIONAL CIR # 102, RENO, NV 89521-5851
(775) 737-4035
(775) 737-4036
Mailing address
10643 PROFESSIONAL CIR # 102, RENO, NV 89521-5851
(775) 737-4035
(775) 737-4036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5588
NV
1223G0001X
General Practice Dentistry
54772
CA
Other
Enumeration date
01/22/2007
Last updated
09/23/2014
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