Provider Demographics
NPI:1598760860
Name:SOK, JOONG SEOP (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOONG SEOP
Middle Name:
Last Name:SOK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 LOS PADRES BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4462
Mailing Address - Country:US
Mailing Address - Phone:408-249-7898
Mailing Address - Fax:408-249-2800
Practice Address - Street 1:225 WASHINGTON ST
Practice Address - Street 2:STE C
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-5975
Practice Address - Country:US
Practice Address - Phone:408-249-7898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA447781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice