Song Dental Corporation
NPI #1982188934 in San Marino, California
Provider Information
- NPI Number
- 1982188934
- Entity Type
- Organization
- Organization Name
- Song Dental Corporation
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 16, 2018
- Last Updated
- Sep 16, 2018
Practice Location
- Address
- 2920 HUNTINGTON DR STE 238
- City
- San Marino
- State
- California
- ZIP Code
- 91108-2254
- Phone
- (626) 286-9211
Authorized Official
- Name
- JONATHAN T SONG, DDS
- Title
- PRESIDENT
- Phone
- (262) 719-6842
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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