Organization
SOUTHWOOD FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUNGHWAN SOH DDS (PRESIDENT)
(516) 483-9488
Entity
Organization
Contact information
Practice address
50 CLINTON ST STE 100, HEMPSTEAD, NY 11550-4201
(516) 483-9488
(516) 489-4853
Mailing address
50 CLINTON ST STE 100, HEMPSTEAD, NY 11550-4201
(516) 483-9488
(516) 489-4853
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
052909
NY
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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