| Southwood Family Dental Pc | |
|
50 Clinton St Ste 100 Hempstead NY 11550-4201 | |
| (516) 483-9488 | |
| (516) 489-4853 |
| Full Name | Southwood Family Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 50 Clinton St Ste 100, Hempstead, New York |
| Authorized Official Name and Position | Junghwan Soh (PRESIDENT) |
| Authorized Official Contact | 5164839488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwood Family Dental Pc 50 Clinton St Ste 100 Hempstead NY 11550-4201 Ph: (516) 483-9488 | Southwood Family Dental Pc 50 Clinton St Ste 100 Hempstead NY 11550-4201 Ph: (516) 483-9488 |
| NPI Number | 1770012726 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770012726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 052909 (New York) | Primary |
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