Individual provider · Type 1 NPI

Jacqueline So, DMD

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1184284895 Active

Practice location

760 Broadway, Room 2C319
Brooklyn, NY 11206

Call (718) 963-8310 Map

Fax (718) 630-3244

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184284895

Jacqueline So, DMD's National Provider Identifier is 1184284895, issued on Jun 14, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Feb 28, 2020.