DR. So-Yeon Park, D.D.S.

NPI #1982741112 in Chicago, Illinois

Provider Information

NPI Number: 1982741112
Entity Type: Individual
Name: DR. So-Yeon Park, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jan 30, 2007
Last Updated: Feb 9, 2016

Practice Location

Address: 2316 W MADISON ST
City: Chicago
State: Illinois
ZIP Code: 60612-2228
Phone: (312) 491-0601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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