Soonjin Park is a Dentist in Reno, Nevada. Soonjin Park practices all healthcare services and medical treatments related to Dentist. The NPI Number for Soonjin Park is 1194879965. The last update date is 2014-09-23.
Soonjin Park's current location address is 10643 Professional Cir # 102, Reno, Nevada. You can contact this provider via phone number 7757374035 and fax number 7757374036. The mailing address for Soonjin Park is 10643 Professional Cir # 102, Reno, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Soonjin Park |
|---|---|
| Address | 10643 Professional Cir # 102, Reno, Nevada |
| Phone Number | 7757374035 |
| Fax Number | 7757374036 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1194879965 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2014-09-23 |
Provider Mailing Address Detail
| Address | 10643 Professional Cir # 102 |
|---|---|
| City | Reno |
| State | Nevada (NV) |
| Post Code | 895215851 |
| Phone Number | 7757374035 |
| Fax Number | 7757374036 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5588 |
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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 |
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What is the unique 10-digit identification code issued to Soonjin Park by the Centers for Medicare & Medicaid Services?
The Soonjin Park has been assigned the NPI (National Provider Identifier) 1194879965 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Soonjin Park is located?
The Soonjin Park is situated at the following address: 10643 Professional Cir # 102, Reno, NV, 895215851.
What is Soonjin Park's area of expertise and its corresponding taxonomy classification?
The Soonjin Park's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1194879965 to Soonjin Park?
The Centers for Medicare & Medicaid Services assigned the 1194879965 to Soonjin Park on 2007-01-22.
When was the information pertaining to Soonjin Park most recently updated or revised?
The details related to Soonjin Park, including its address, specialty, and other relevant information, were last updated or revised on 2014-09-23.
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