Michael S. Song Dds, PC

NPI #1336512342 in Fairfax, Virginia

Provider Information

NPI Number: 1336512342
Entity Type: Organization
Organization Name: Michael S. Song Dds, PC
Subpart: Yes (part of a larger organization)
Parent Organization: POTOMAC VALLEY DENTAL CARE, PLLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 12, 2015
Last Updated: Nov 12, 2015

Practice Location

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

Authorized Official

Name: DR. MICHAEL S. SONG, DDS
Title: DENTIST/OWNER
Phone: (703) 385-5455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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