DR. Michael Soo-Hyung Song, D.D.S.

NPI #1235318569 in Fairfax, Virginia

Provider Information

NPI Number: 1235318569
Entity Type: Individual
Name: DR. Michael Soo-Hyung Song, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Nov 2, 2007
Last Updated: Nov 2, 2007

Practice Location

Address: 3975 FAIR RIDGE DR
Address 2: SUITE #301 NORTH
City: Fairfax
State: Virginia
ZIP Code: 22033-2911
Phone: (703) 385-5455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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