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Search › Iowa › 122300000X

So Eun Park, DDS

NPI 1871071621 · on the registry since 2018

Practice

Address
3301 W Kimberly Rd Ste 5
Davenport, IA 52806
Phone
(888) 988-4066
Fax
(847) 496-4850
Organisation at this address
Familia Dental Davenport Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
IL, IA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-06-25

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 Iowa