DR. Eun Sup Song, DDS
NPI #1053507087 in La Crescenta, California
Provider Information
- NPI Number
- 1053507087
- Entity Type
- Individual
- Name
- DR. Eun Sup Song, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Sep 24, 2007
- Last Updated
- Sep 24, 2007
Practice Location
- Address
- 2777 FOOTHILL BLVD
- City
- La Crescenta
- State
- California
- ZIP Code
- 91214
- Phone
- (818) 957-7878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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