Provider Demographics
NPI:1184351967
Name:SOHN, MYUNGJIN (DDS)
Entity type:Individual
Prefix:
First Name:MYUNGJIN
Middle Name:
Last Name:SOHN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2615 GREENFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-5232
Mailing Address - Country:US
Mailing Address - Phone:626-394-3742
Mailing Address - Fax:
Practice Address - Street 1:1477 SAN MARINO AVE STE 1
Practice Address - Street 2:
Practice Address - City:SAN MARINO
Practice Address - State:CA
Practice Address - Zip Code:91108-2053
Practice Address - Country:US
Practice Address - Phone:626-399-0448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1069501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice