Individual
DR. SUNG SEONG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
530 S MAIDEN LN, JOPLIN, MO 64801-3084
(417) 782-0080
Mailing address
530 S MAIDEN LN, JOPLIN, MO 64801-3084
(417) 782-0080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2016028355
MO
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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