Individual
DR. MINSOO O
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
314 ESSEX ST, LAWRENCE, MA 01840-1411
(954) 330-1955
Mailing address
314 ESSEX ST, LAWRENCE, MA 01840-1411
(954) 330-1955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22297
MA
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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