DR. Sejin Shane Song, DDS
NPI #1740511310 in Paynesville, Minnesota
Provider Information
- NPI Number
- 1740511310
- Entity Type
- Individual
- Name
- DR. Sejin Shane Song, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 21, 2010
- Last Updated
- Sep 7, 2016
Practice Location
- Address
- 107 WASHBURNE AVE
- City
- Paynesville
- State
- Minnesota
- ZIP Code
- 56362-1640
- Phone
- (320) 243-2175
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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