Individual
SOO KYEONG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTIST(DMD)
Contact information
Practice address
120 PARK AVE, MADISON, NJ 07940-1559
(973) 377-7088
(973) 377-4722
Mailing address
311 E 38TH ST APT 3F, NEW YORK, NY 10016-2773
(347) 944-7533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17486
MD
Other
Enumeration date
07/08/2022
Last updated
10/10/2024
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