DR. Tae Jin Song, D.D.S.

NPI #1821441825 in Red Oak, Texas

Provider Information

NPI Number: 1821441825
Entity Type: Individual
Name: DR. Tae Jin Song, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 14, 2016
Last Updated: Jul 14, 2016

Practice Location

Address: 103 E OVILLA RD
City: Red Oak
State: Texas
ZIP Code: 75154-2490
Phone: (972) 672-0896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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