Individual
SOOYEON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5450 REISTERSTOWN RD, SMILES R US, BALTIMORE, MD 21215-4434
(443) 759-4844
Mailing address
7501 TRAFALGAR CIR, APT 128, HANOVER, MD 21076-5008
(608) 469-9689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15567
MD
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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