Individual
DR. SOHEE KIM PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MHS
Contact information
Practice address
456 CLEMSON RD, COLUMBIA, SC 29229-7925
(803) 788-9715
(803) 788-9705
Mailing address
456 CLEMSON RD, COLUMBIA, SC 29229-7925
(803) 788-9715
(803) 788-9705
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3592
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3592
—
SC
Enumeration date
07/26/2006
Last updated
03/27/2019
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