Soo T Park Dds Inc in Lancaster - Dentist
Soo T Park Dds Inc - NPI 1679538037
Soo T Park Dds Inc is a Dentist in Lancaster, California. Soo T Park Dds Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Soo T Park Dds Inc is 1679538037. The last update date is 2013-10-09.
Soo T Park Dds Inc's current location address is 44841 N 10th St W, Lancaster, California. You can contact this provider via phone number 6619481655 and fax number 6619409636. The mailing address for Soo T Park Dds Inc is 44841 N 10th St W, Lancaster, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Soo T Park Dds Inc |
|---|---|
| Address | 44841 N 10th St W, Lancaster, California |
| Phone Number | 6619481655 |
| Fax Number | 6619409636 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Park Tae Soo |
| Credentials | DDS |
| Telephone Number | 6619481655 |
NPI Number Detail
| NPI Number | 1679538037 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2013-10-09 |
Provider Mailing Address Detail
| Address | 44841 N 10th St W |
|---|---|
| City | Lancaster |
| State | California (CA) |
| Post Code | 93534 |
| Phone Number | 6619481655 |
| Fax Number | 6619409636 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 22315 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G9225701 | CA | -- |
Post Comment/ Review Below
What is the Soo T Park Dds Inc's unique identification number?
The Soo T Park Dds Inc has been assigned the NPI (National Provider Identifier) Number 1679538037 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Soo T Park Dds Inc?
The Soo T Park Dds Inc is situated at 44841 N 10Th St W, in the city of Lancaster, state of CA, with the zip code 93534.
What is Soo T Park Dds Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Soo T Park Dds Inc is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679538037 to Soo T Park Dds Inc?
The Centers for Medicare & Medicaid Services assigned the 1679538037 to Soo T Park Dds Inc on 2006-04-19.
As of what date was the information pertaining to Soo T Park Dds Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Soo T Park Dds Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-10-09.
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