Individual
SEOKJAE SON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
303 W SPRINGFIELD AVE, CHAMPAIGN, IL 61820-4817
(217) 356-3335
Mailing address
303 W SPRINGFIELD AVE, CHAMPAIGN, IL 61820-4817
(217) 356-3335
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030913
IL
Other
Enumeration date
08/10/2016
Last updated
03/17/2018
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