Search › New Jersey › 1223G0001X
Soo Kyeong Park, DENTIST(DMD)
NPI 1821721549 · on the registry since 2022 · sole proprietor
Practice
- Address
- 120 Park Ave
Madison, NJ 07940 - Phone
- (973) 377-7088
- Fax
- (973) 377-4722
- Organisation at this address
- North Jersey Maxillo-Facial Services Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey