Park, Sohee Kim

Park, Sohee Kim is an sole proprietor health care provider with primary practice located at 456 Clemson Rd , Columbia SC 29229-7925. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Park, Sohee Kim can be contacted via phone (803) 788-9715.

Contact Information

Primary practice address
456 Clemson Rd Columbia SC 29229-7925
Fax: (803) 788-9705
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 3592 South Carolina

Profile Details

NPI number 1700800497
LBN Legal business name Park, Sohee Kim
Credentials DMD, MHS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Mar 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700800497 NPPES
South Carolina MEDICAID ZX3592

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