Tae G Song DDS PC

NPI #1215334420 in Mesquite, Texas

Provider Information

NPI Number: 1215334420
Entity Type: Organization
Organization Name: Tae G Song DDS PC
Primary Specialty: Dentist
Enumeration Date: Dec 3, 2014
Last Updated: Dec 3, 2014

Practice Location

Address: 507 N GALLOWAY AVE
City: Mesquite
State: Texas
ZIP Code: 75149-3405
Phone: (972) 329-7000

Authorized Official

Name: TAE G SONG, DDS
Title: PRESIDENT
Phone: (972) 329-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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