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Individual

DR. SO YOUNG PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
100 S 4TH ST, UNIT 2, ELDRIDGE, IA 52748
(563) 285-5600
(563) 285-5601
Mailing address
410 3RD AVE APT 1, CORALVILLE, IA 52241-2409
(734) 255-9641

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09424
IA

Other

Enumeration date
07/17/2017
Last updated
07/17/2017
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