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General NPI Number Information
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NPI Number | 1336008457
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Entity Type | Organization
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Legal Business Name | SO YOUN MIN DDS INC
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 18102 IRVINE BLVD STE 201
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City | TUSTIN
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State | CA
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Zip | 92780-3424
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Country | US
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Telephone | 714-730-9656
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Fax | 714-730-9678
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Provider Business Mailing Address
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Address Line | 18102 IRVINE BLVD STE 201
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City | TUSTIN
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State | CA
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Zip | 92780-3424
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Country | US
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Telephone | 714-730-9656
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Fax | 714-730-9678
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SO YOUN MIN
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Credential | DDS
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Telephone | 714-730-9656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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