Soo Kyeong Park, DENTIST(DMD)
General Dentistry · Madison, NJ
UnclaimedDENTIST(DMD)NPI 1821721549
- Primary taxonomy
- 1223G0001X
- Enumerated
- 2022-07-08
- Practice location
- Madison, NJ
- Last NPPES update
- 2024-10-10
State licenses
- MD · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.