# SEUNG YONG SONG DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205777018
- **Authorized official:** SEUNG SONG (OWNER DENTIST)
- **Authorized official phone:** (951) 750-2810

## Contact information

- **Practice address:** 3850 S MERIDIAN STE 5, PUYALLUP, WA 98373-3701
- **Practice address phone:** (951) 750-2810
- **Mailing address:** 3850 S MERIDIAN STE 5, PUYALLUP, WA 98373-3701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2026
- **Last updated:** 04/03/2026