Individual
SOON HO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
PO BOX 5027 CHRB, SAIPAN, MP 96950
(670) 588-8533
Mailing address
PO BOX 5027 CHRB, SAIPAN, MP 96950
(670) 588-8533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0181
MP
Other
Enumeration date
10/11/2019
Last updated
04/03/2024
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