Individual
DR. SOOMIN HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.D.
Contact information
Practice address
620 N COPPELL RD APT 3206, COPPELL, TX 75019-2053
(415) 690-0611
Mailing address
620 N COPPELL RD APT 3206, COPPELL, TX 75019-2053
(415) 690-0611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN-8825
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
102080
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
34723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71001549
—
CO
Enumeration date
12/20/2006
Last updated
09/13/2019
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