Provider Demographics
NPI:1942406145
Name:PAK-SUH, YOUNG HEE (DMD)
Entity Type:Individual
Prefix:DR
First Name:YOUNG
Middle Name:HEE
Last Name:PAK-SUH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 VALENTE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-1635
Mailing Address - Country:US
Mailing Address - Phone:714-505-2997
Mailing Address - Fax:
Practice Address - Street 1:145 S CHAPARRAL CT
Practice Address - Street 2:#201
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-2265
Practice Address - Country:US
Practice Address - Phone:714-998-1646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45949122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist