Tae Gon Song, DDS

NPI #1346591906 in Mesquite, Texas

Provider Information

NPI Number
1346591906
Entity Type
Individual
Name
Tae Gon Song, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Sep 24, 2012
Last Updated
Sep 25, 2015

Practice Location

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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