NPI 1023148749
Yeonsoo Park, DDS
Practice location
- Address
- Cmr 402 Ae 09180, Apo, AE 09180
- Phone
- (314) 590-7860
- Mailing address
- Cmr 402 Apo, Ae 09180-0402, Apo, AE 09180
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1023148749
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Mar 2007
- Record last updated
- 27 May 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.