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Seohyun Park, DDS
Student in an Organized Health Care Education/Training Program in Mineola, New York
NPI 1205523891

Seohyun Park is a Student in an Organized Health Care Education/Training Program based in Mineola, NY. Seohyun Park practices in Mineola, NY and has the professional credentials of DDS. The NPI Number for Seohyun Park is 1205523891 and holds a License No. (New York).

The current practice location address for Seohyun Park is 200 Old Country Rd Ste 460, Mineola, NY and can be reached out via phone at 516-663-2752.

Location: 200 Old Country Rd Ste 460, Mineola, NY, 11501-4293
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205523891
Provider Name
Seohyun Park
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
200 Old Country Rd Ste 460, Mineola, NY, 11501-4293
Phone Number
516-663-2752
Fax Number
Provider Enumeration Date
04/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Old Country Rd Ste 460
City
Mineola
State
New York
Zip
11501-4293
Phone Number
516-663-2752
Fax Number
person
Provider Business Mailing Address Details
Address
200 Old Country Rd Ste 460
City
Mineola
State
New York
Zip
11501-4293
Phone Number
516-663-2752
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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