Individual
BOH KYEONG SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 MENDOTA ST STE 107, MADISON, WI 53714-1096
(608) 665-2752
Mailing address
9305 MOYNELLO CT, ELK GROVE, CA 95624-1633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001926-15
WI
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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